NPI 1083907984

Tosha Marie Baker, COTAL

Practitioner Physical Disabilities Residential Treatment Facility Bonita Springs, FL

Practice location

Address: 26850 S Bay Dr, Bonita Springs, FL 34134-4379
Phone: (239) 948-2600
Mailing address: 10101 Maddox Ln E 102, Bonita Springs, FL 34135-7641

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence OTA10267 (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1083907984
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2011
Record last updated: 25 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.