Individual
BAILEE ANNE GUYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
960 BOONE RD SE, SALEM, OR 97306-1527
(877) 367-9772
Mailing address
2220 E MURRAY HOLLADAY RD APT 208, HOLLADAY, UT 84117-5329
(916) 521-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
473279
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473279
STATE OF OREGON OCCUPATIONAL THERAPY LICENSING BOARD
OR
Enumeration date
07/22/2022
Last updated
07/22/2022
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