Individual
ASHLEY IRENE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 STOEGER DR, GRAND ISLAND, NE 68803-4404
(308) 382-5440
Mailing address
300 N MILL ST, ELM CREEK, NE 68836-7680
(308) 708-0293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
881
NE
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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