Individual
MARIE MULL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 LAKE LYNDA DR STE 207, ORLANDO, FL 32817-8327
(877) 896-3660
Mailing address
2805 RODGERS ST, CHESAPEAKE, VA 23324-1739
(757) 560-2721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3059
MA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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