Bella Baazov, OTR/L

Individual provider Active NPI Occupational Therapist · Wyoming, MI

NPI 1265048847 · NPPES record last updated Sep 19, 2020

Key facts

NPI
1265048847
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201010731 (MI)
Practice address
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone
(616) 252-7200
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201010731MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201010731 MI Yes

Addresses

Primary practice location

5900 Byron Center Ave SW
Wyoming, MI 49519-9606

Mailing address

2417 Gilmour St SE
Grand Rapids, MI 49506-3562

Other providers in Wyoming, MI

All providers in Wyoming, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.