Individual
ALLISON BAYLEE THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 N. LAKE HOWARD DR, WINTER HAVEN, FL 33884
(407) 530-5063
Mailing address
1930 AUSTIN TER, WINTER HAVEN, FL 33884-2824
(618) 301-8265
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
462880
FL
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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