Individual
BAYLEY TARANTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2700 SUNRISE RD, ROUND ROCK, TX 78665-9323
(512) 953-7612
Mailing address
11304 WET SEASON DR, AUSTIN, TX 78754-5855
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
120078
TX
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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