Individual
TERESA FUTRELL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 STERLING DR, HOPKINSVILLE, KY 42240-1567
(270) 886-8258
(270) 886-8258
Mailing address
200 STERLING DR, HOPKINSVILLE, KY 42240-1567
(270) 886-8258
(270) 886-8258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY-A3576
COTA LICENSE
KY
Enumeration date
08/05/2008
Last updated
08/05/2008
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