Individual
BAILEY ANDREWS BEVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
Mailing address
120 E CENTER ST, CARROLLTON, GA 30117-3303
(678) 390-6166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008468
GA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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