Individual
MRS. ALISA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
29256 RYAN RD, WARREN, MI 48092
(586) 751-6667
(586) 751-1888
Mailing address
8834 MCCOLL SIDE RD, BRIGHTON, MI 48116-8836
(734) 255-3593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005097
MI
Other
Enumeration date
03/04/2008
Last updated
07/10/2018
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