BAILIE MICHELLE CORALLO

LUBBOCK, TX
NPI1144812827
Former NameBAILIE PHARES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  121519)
Enumeration Date2021-02-04
Last Update Date2021-02-04
Business Address
BAILIE MICHELLE CORALLO OTR
1717 NORFOLK AVE
LUBBOCK, TX 79416-6099
Phone number: 806-281-6106
Mailing Address
BAILIE MICHELLE CORALLO OTR
6902 76TH ST
LUBBOCK, TX 79424-0743
Phone number: