Individual
MRS. ERIN L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1005 N HICKORY RD, SOUTH BEND, IN 46615-3723
(574) 233-5754
(574) 233-7406
Mailing address
23184 RILEY RD, LAKEVILLE, IN 46536-9446
(574) 784-2430
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
31-003843A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356662
ANTHEM
IN
Enumeration date
09/27/2006
Last updated
07/08/2007
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