Individual
A'NDREA DANIELLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1010 W MAIN ST, HENDERSON, TX 75652-2923
(903) 657-6945
Mailing address
PO BOX 1131, HENDERSON, TX 75653-1131
(903) 854-2041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209870
TX
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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