Individual
KAYLEE BAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3954
(503) 370-8285
Mailing address
334 EAGLES WING ST NW, SALEM, OR 97304-4263
(503) 871-8586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
426792
OR
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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