Individual
JENNIFER BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPISTJE
Contact information
Practice address
423 TWIN LAKES DR, VILLA RICA, GA 30180-5505
(770) 865-3484
Mailing address
423 TWIN LAKES DR, VILLA RICA, GA 30180-5505
(770) 865-3484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006126
GA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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