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Individual
STEPHEN K BAILEY
Active
Individual
STEPHEN K BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CMTPT, FMSC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679817928
—
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
01
—
P01462267
MEDICARE RR PTAN
VA
Enumeration date
11/26/2012
Last updated
02/18/2022
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