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Individual
BROOKE BAILEY
Active
Individual
BROOKE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
297809
CA
225100000X
Physical Therapist
Primary
CP002924T
OR
225100000X
Physical Therapist
PTL0016443
CO
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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