Individual
CARSON ELISE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14510 HIGHWAY 79, MC KENZIE, TN 38201-7824
(731) 352-5317
(731) 352-5942
Mailing address
224 HIGH ST, HUNTINGDON, TN 38344-3206
(731) 499-0295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3826
TN
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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