Individual
BAILEY RENEA BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
(314) 750-1787
Mailing address
331A JARVIS CT, TROY, IL 62294-1155
(314) 750-1787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19763
CO
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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