Shannon Bailey, OTR/L

NPI #1437586773 in Rosedale, New York

Provider Information

NPI Number: 1437586773
Entity Type: Individual
Name: Shannon Bailey, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTR/L
Enumeration Date: Oct 1, 2013
Last Updated: Oct 1, 2013

Practice Location

Address: 24101 132ND RD
City: Rosedale
State: New York
ZIP Code: 11422-1410
Phone: (347) 272-6599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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