Individual
HOLLY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 N 25TH ST, WACO, TX 76708-3317
(254) 235-2430
Mailing address
2124 N 25TH ST, WACO, TX 76708-3317
(254) 235-2430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105963
TX
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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