Individual
BAILEY CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
421 N FREDONIA ST, NACOGDOCHES, TX 75961-5010
(936) 569-3150
Mailing address
421 N FREDONIA ST, NACOGDOCHES, TX 75961-5010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216893
TX
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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