Organization
BWELLBABY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BAZINET OTR/L (OWNER)
(781) 864-3569
Entity
Organization
Contact information
Practice address
710 N PERSON ST APT 206, RALEIGH, NC 27604-1284
(781) 864-3569
Mailing address
710 N PERSON ST APT 206, RALEIGH, NC 27604-1284
(781) 864-3569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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