Individual
BAILEY BRIANNE BENADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1019 3RD ST, #3, SANTA CRUZ, CA 95060-5074
(805) 712-1341
Mailing address
1019 3RD ST, #3, SANTA CRUZ, CA 95060-5074
(805) 712-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16097
CA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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