Individual
NICOLE LYNN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOLLY RD, HAMBURG, PA 19526-8729
(610) 562-2284
Mailing address
3430 SUMMER VALLEY RD, NEW RINGGOLD, PA 17960-9376
(570) 778-3311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001757
PA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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