Individual
MRS. CHELSEA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1515 N. LAKE HAVASU AVENUE, SUITE #100, LAKE HAVASU CITY, AZ 86404
(928) 854-5439
(928) 854-5440
Mailing address
1515 N. LAKE HAVASU AVENUE, SUITE #100, LAKE HAVASU CITY, AZ 86404
(928) 854-5439
(928) 854-5440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6297
AZ
225X00000X
Occupational Therapist
63 019870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077216
—
AZ
Enumeration date
08/14/2015
Last updated
10/31/2017
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