Individual
MRS. ANTOINETTE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1585 WESLEYAN DR, NORFOLK, VA 23502-5512
(757) 461-6235
Mailing address
1585 WESLEYAN DR, NORFOLK, VA 23502-5512
(757) 461-6235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000588
VA
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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