BAILEIGH BENNINGTON

SOUTHAVEN, MS
NPI1235602392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA3607)
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
BAILEIGH BENNINGTON COTA/L
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
Mailing Address
BAILEIGH BENNINGTON COTA/L
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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