Individual
MRS. BAILEY ELLISON DENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
261QP2000X
Physical Therapy Clinic/Center
6729
OR
Other
Enumeration date
12/13/2011
Last updated
06/10/2020
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