Individual
BAILEY COUSINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1161 E CLARK RD STE 360, DEWITT, MI 48820-7930
(517) 507-5525
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013173
MI
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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