Individual
ANGELINE L BAYCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5021 PRENTIS DR, TROY, MI 48085-3455
(248) 930-0786
Mailing address
5021 PRENTIS DR, TROY, MI 48085-3455
(248) 930-0786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000497
MI
225X00000X
Occupational Therapist
5201000497
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201000497
—
MI
Enumeration date
04/16/2018
Last updated
04/16/2018
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