Provider Demographics
NPI:1982974788
Name:BAKER, HILLARY LATOYA
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:LATOYA
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 WRIGHT CT
Mailing Address - Street 2:
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394-9796
Mailing Address - Country:US
Mailing Address - Phone:910-556-1153
Mailing Address - Fax:
Practice Address - Street 1:149 WRIGHT CT
Practice Address - Street 2:
Practice Address - City:VASS
Practice Address - State:NC
Practice Address - Zip Code:28394-9796
Practice Address - Country:US
Practice Address - Phone:910-556-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist