Individual
BAILEY JAYNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 6TH ST, ELGIN, OK 73538-9055
(580) 647-6498
Mailing address
204 6TH ST, ELGIN, OK 73538-9055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5780
OK
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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