Individual
ABIGAIL BAYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
420 ROWE ST, MOSCOW, ID 83843-9319
(208) 882-4576
Mailing address
336 DOLLY DR, MOSCOW, ID 83843-9773
(208) 241-0047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-873
ID
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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