Individual
ANNA KATHRYN BAIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(662) 714-3122
(888) 228-1594
Mailing address
2144 LAKESHORE DR APT 7C, RIDGELAND, MS 39157-1028
(662) 588-2295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3710
MS
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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