Provider Demographics
NPI:1316729833
Name:MILET, BAILEY MARIE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:MARIE
Last Name:MILET
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12840 SHENANDOAH TRL
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-4700
Mailing Address - Country:US
Mailing Address - Phone:815-212-2289
Mailing Address - Fax:
Practice Address - Street 1:19227 JUNIPER LN
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8132
Practice Address - Country:US
Practice Address - Phone:630-673-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist