Individual
MS. PHYLLIS NANCY BAILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
91555 OVERSEAS HWY, TAVERNIER, FL 33070-2505
(305) 852-8600
Mailing address
91555 OVERSEAS HWY, TAVERNIER, FL 33070-2505
(305) 852-8600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4678
FL
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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