Individual
MARY BETH BAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
(831) 241-0406
Mailing address
PO BOX 502, KLAMATH, CA 95548-0502
(831) 241-0406
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5513
CA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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