Individual
MS. BAILEE RYANNE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
146 BUCK CREEK RD, ROAN MOUNTAIN, TN 37687-3497
(423) 772-0161
Mailing address
461 CLOUDLAND DR, ROAN MOUNTAIN, TN 37687-3205
(423) 895-9674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7608
TN
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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