Provider Demographics
NPI:1194543496
Name:ANSTAETT, BAYLEE RENEE (COTA)
Entity type:Individual
Prefix:MRS
First Name:BAYLEE
Middle Name:RENEE
Last Name:ANSTAETT
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-1132
Mailing Address - Country:US
Mailing Address - Phone:513-490-5812
Mailing Address - Fax:
Practice Address - Street 1:6405 SMALL HOUSE CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7524
Practice Address - Country:US
Practice Address - Phone:513-677-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA008731224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant