Individual
NANCY ANN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
106 CAROLINE CV, CLINTON, MS 39056-5758
(601) 925-5204
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTO333
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTO333
STATE LISCENSE
MS
Enumeration date
08/17/2006
Last updated
07/08/2007
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