Individual
MRS. LEAH A BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
521 PELAHATCHIE SHORE DR, BRANDON, MS 39047-6282
(601) 613-7328
Mailing address
107 WILDBERRY WAY, PEARL, MS 39208-9221
(601) 939-3510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0488
MS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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