Individual
PAMELA ANN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
662 COBB RD, CALEDONIA, MS 39740-9539
(662) 889-9391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4200
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4200
PTA LICENSE NUMBER
MS
Enumeration date
03/18/2022
Last updated
03/18/2022
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