Individual
BAILEY ANNE FEZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1160 CENTRE POINTE DR STE 7, MENDOTA HEIGHTS, MN 55120-1377
(952) 401-9359
(952) 401-9805
Mailing address
1160 CENTRE POINTE DR STE 7, MENDOTA HEIGHTS, MN 55120-1377
(952) 401-9359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
202444
MN
224Z00000X
Occupational Therapy Assistant
Primary
202444
MN
Other
Enumeration date
09/23/2019
Last updated
09/09/2021
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