NPI 1851904379

Varrenza Lashaun Baker, CTRS

Practitioner Recreation Therapist Atlanta, GA

Practice location

Address: 1701 Hardee Ave SW, Atlanta, GA 30310-5110
Phone: (404) 321-6111
Mailing address: 174 Shoal Park Dr, McDonough, GA 30252-5822

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 82164 (GA)

Other Recreation Therapist providers in Georgia →

Registry record

NPI: 1851904379
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2020
Record last updated: 25 Aug 2020

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.