Organization
FUNCTIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BAILEY (SPEECH LANGUAGE PATHOLOGIST)
(304) 787-6348
Entity
Organization
Contact information
Practice address
159 GRANBY CIR, BEAVER, WV 25813-9233
(304) 787-6348
Mailing address
159 GRANBY CIR, BEAVER, WV 25813-9233
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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