Individual
TASSLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10049 SW 16TH ST, PEMBROKE PINES, FL 33025-3604
(786) 704-5194
Mailing address
10049 SW 16TH ST, PEMBROKE PINES, FL 33025-3604
(786) 704-5194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211224
TX
Other
Enumeration date
12/12/2012
Last updated
11/13/2019
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