Individual
SAMANTHA ROSE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7955 N KINGS HWY STE 330, MYRTLE BEACH, SC 29572-3056
(843) 945-1815
(843) 945-2343
Mailing address
4901 LAC DE VILLE BLVD BLDG D, ROCHESTER, NY 14618-5647
(585) 341-9000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044506-01
NY
Other
Enumeration date
12/04/2019
Last updated
12/30/2019
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