Healthcare Provider Details

I. General information

NPI: 1912815069
Provider Name (Legal Business Name): BAILEY ROSE SOLLUND MSOT, OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COOPER AVE STE 1100
SAGINAW MI
48602-5383
US

IV. Provider business mailing address

19481 EAST RD
NEW LOTHROP MI
48460-9611
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-2729
  • Fax:
Mailing address:
  • Phone: 989-583-2729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201012793
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: