Individual
MRS. KELLY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
363 JUNGERMANN RD, SAINT PETERS, MO 63376-5371
(636) 244-3921
Mailing address
2509 BRAINTREE DR, HIGH RIDGE, MO 63049-2409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2002015690
MO
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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