Individual
MRS. TYNISA LA'KEISHIRR BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
15 RANDALL HILL RD, SPRINGFIELD, VT 05156-9317
(832) 247-7700
Mailing address
PO BOX 894, SPRINGFIELD, VT 05156-0894
(832) 247-7700
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
072.0049825
VT
225XP0200X
Pediatric Occupational Therapist
2076
NH
Other
Enumeration date
09/22/2009
Last updated
07/16/2015
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