Individual
LAURA ANN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4457 N CENTRAL PARK AVE, CHICAGO, IL 60625-5909
(586) 801-2099
Mailing address
4457 N CENTRAL PARK AVE, CHICAGO, IL 60625-5909
(586) 801-2099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005283
IL
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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