Individual
KELLY MARIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34179 N PICKET POST DR, QUEEN CREEK, AZ 85142-6649
(480) 710-8500
Mailing address
2113 W INLET LOOP, MESA, AZ 85202-5509
(218) 393-7412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046711
AZ
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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