Individual
SUSAN BAIZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUSAN BAIZLEY
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWAR, GA 31314-5674
(912) 435-7026
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 435-7026
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT004725
GA
Other
Enumeration date
05/10/2010
Last updated
09/07/2010
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