Provider Demographics
NPI:1669801197
Name:BAKER, JESSICA LANKFORD (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LANKFORD
Last Name:BAKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25435 S OAK DR
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4712
Mailing Address - Country:US
Mailing Address - Phone:302-381-2435
Mailing Address - Fax:
Practice Address - Street 1:30166 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-3585
Practice Address - Country:US
Practice Address - Phone:302-663-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014758225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist