Individual
BAILEY PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
209 9TH ST STE 302, ROCKFORD, IL 61104-2235
(779) 696-4590
Mailing address
1609 W 9TH ST, BELVIDERE, IL 61008-5495
(847) 815-4707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016307
IL
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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