Individual
JESSICA LYNN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
149 N MAIN STREET, FAIRPORT, NY 14450
(585) 377-2230
(585) 377-2243
Mailing address
149 N MAIN STREET, FAIRPORT, NY 14450
(585) 377-2230
(585) 377-2243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009135-1
NY
Other
Enumeration date
09/04/2017
Last updated
07/21/2022
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