Individual
BAYLI NICOLE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2 TRIGON PARK, LE ROY, NY 14482-1299
(585) 768-8133
Mailing address
38 WALNUT STREET LOWER APARTMENT, ATTICA, NY 14011-9627
(585) 689-5000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
027024
NY
Other
Enumeration date
08/19/2022
Last updated
08/31/2023
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