Individual
BAILEY BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6820 MADRONE DR, ROCKFORD, MI 49341-9578
(480) 313-6777
(855) 810-1930
Mailing address
1707 W GREENLEAF AVE APT 1, CHICAGO, IL 60626-2419
(872) 240-0668
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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