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Lisa Jae Bailey, OT/L

Occupational Therapist in Prescott, AZ. Individual provider (NPI-1).

NPI number1588998793
StatusActive
Last updated in NPPESAug 6, 2020

Details

NPI
1588998793
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Jae Bailey
Credential
OT/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 22, 2009
Certification date
Aug 6, 2020
Last updated
Aug 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2413AZYes

Other names

  • Lisa Jae Bailey (Former Name)

Practice location

1045 Whipple St
Prescott, AZ 86305-1662

Phone 805-287-2944

Mailing address

1403 W Iron Springs Rd Lot 64
Prescott, AZ 86305-3308

Phone 480-528-7294

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