Mavis Baker

NPI 1649667148 · on the registry since 2015 · sole proprietor

Practice

Address: 11740-2 San Jose Blvd
Jacksonville, FL 32223
Phone: (904) 880-5755
Organisation at this address: Tri-Dimension Spinal Rehab.
Tri Dimension Spinal Reha Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida