Susan Baizley, SUSAN BAIZLEY
Individual provider Active NPI Mental Health Occupational Therapist · Fort Stewar, GA
NPI 1609194091 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1609194091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Occupational Therapist 225XM0800X
- License
- OT004725 (GA)
- Practice address
- 1061 Harmon Ave
Ste 1D03
Fort Stewar, GA 31314-5674 - Phone
- (912) 435-7026
- NPI assigned
- May 10, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT004725 | GA | MD | Mental Health Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | OT004725 | GA | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Ste 1D03
Fort Stewar, GA 31314-5674
Mailing address
1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5674
Phone (912) 435-7026
Other names
- Susan Baizley
Other providers in Fort Stewar, GA
All providers in Fort Stewar, GA · Mental Health Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.