Individual
LYDA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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