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Individual

JENNIFER DAWN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
243 N MAIN ST APT 1, ONEIDA, NY 13421-1319
(315) 292-8428

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016191-1
NY

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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