Individual
BAILEY GWENNETH WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
Mailing address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41651
CA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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