Individual
BAYLEIGH NICKOLE FORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1102 SOLON PLACE WAY STE 2, WAXAHACHIE, TX 75165-5038
(972) 875-7488
(972) 875-7508
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9431
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
123870
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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