Individual provider · NPI-1

Laura Ann Bailey

Occupational Therapy Assistant · Chicago, IL

NPI number1609440874
StatusActive
Last updated in NPPESMay 13, 2021

Details

NPI
1609440874
Entity type
Individual (NPI-1)
Name
Laura Ann Bailey
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2021
Certification date
Apr 15, 2021
Last updated
May 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057005283ILYes

Practice location

4457 N Central Park Ave
Chicago, IL 60625-5909

Phone 586-801-2099

Mailing address

4457 N Central Park Ave
Chicago, IL 60625-5909

Phone 586-801-2099

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