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Contact Information

ANTHONY D BAILEY, OTA
11800 XEON BLVD NW
COON RAPIDS, MN55448-2061
 Phone: 763-755-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for ANTHONY D BAILEY · (Male)

NPI # 1407508351
Status Active
Credentials OTA
Entity Individual
Enumeration date 01/21/2022
Last updated 01/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 201908
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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