Individual
BAYLEE A SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 BLUESTONE DR STE 202, SAINT CHARLES, MO 63303-6727
(636) 896-0999
Mailing address
2085 BLUESTONE DR STE 202, SAINT CHARLES, MO 63303-6727
(636) 896-0999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020005414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020005414
STATY OF MISSOURI OTA LICENSE NUMBER
MO
Enumeration date
07/24/2020
Last updated
07/24/2020
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