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Individual
KIMBERLY BAILEY
Active
Individual
KIMBERLY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
700
AL
225200000X
Physical Therapy Assistant
PTA9407
AL
2255A2300X
Athletic Trainer
Primary
700
AL
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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