Individual
BAILEY ELIZABETH BANKS MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15405 MERRY CAT LANE, BELLE HAVEN, VA 23306
(757) 302-6140
(757) 302-6141
Mailing address
15404 MERRY CAT LANE, BELLE HAVEN, VA 23306
(757) 302-6140
(757) 302-6141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214799
VA
Other
Enumeration date
11/20/2017
Last updated
02/01/2022
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