Individual
KELLYN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-4477
Mailing address
114 N MAPLE ST, MOUNT PROSPECT, IL 60056-2526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010796
IL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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