Individual
BAILEY LYN BROWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11208 QUAILS BLUFF CIR, LAKE WALES, FL 33853-2661
(863) 532-2772
Mailing address
11208 QUAILS BLUFF CIR, LAKE WALES, FL 33853-2661
(863) 532-2772
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA17654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA17654
OCCUPATIONAL THERAPY ASSISTANT
FL
Enumeration date
06/01/2021
Last updated
06/01/2021
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