Individual
BAILEY CATHERINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1315 2ND ST SW STE 202, ROANOKE, VA 24016-4935
(540) 982-2208
Mailing address
607 5TH ST, RADFORD, VA 24141-2201
(757) 617-7311
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119009833
VA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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