Individual
BAILIE CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W LILLIE BLVD, MADILL, OK 73446-1270
(580) 226-5566
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 226-5566
(580) 226-5567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2288
OK
Other
Enumeration date
07/26/2021
Last updated
05/15/2026
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