Individual
MS. KIMBERLY ANNE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
280 MT HEBRON RD, ELMORE, AL 36025-1526
(334) 567-8484
Mailing address
6636 HERITAGE OAK CT, MONTGOMERY, AL 36117-4753
(334) 430-4983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0496
AL
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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