Provider Demographics
NPI:1366240947
Name:ABRAM, BAILEY (OTR/L)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:ABRAM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2735 W LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-4716
Mailing Address - Country:US
Mailing Address - Phone:501-658-1624
Mailing Address - Fax:
Practice Address - Street 1:1520 E BATES
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-8425
Practice Address - Country:US
Practice Address - Phone:417-222-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist