Individual
MRS. LISA SHARON BAYLISS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
269 RADIO AVE, MILLER PLACE, NY 11764-3528
(631) 205-5904
Mailing address
269 RADIO AVE, MILLER PLACE, NY 11764-3528
(631) 205-5904
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
011323-1
NY
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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