Provider Demographics
NPI:1780923425
Name:BAKER, SABITRI (LMT)
Entity type:Individual
Prefix:
First Name:SABITRI
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SABITRI
Other - Middle Name:
Other - Last Name:HARRACKSINGH
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:10 VILLAGE ST APT 71
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3278
Mailing Address - Country:US
Mailing Address - Phone:443-709-7614
Mailing Address - Fax:
Practice Address - Street 1:210 COUNTRY DAY RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619
Practice Address - Country:US
Practice Address - Phone:443-750-5691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2018-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM04871173C00000X, 174400000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD12513026OtherCAQH NUMBER