Individual
BAILEY HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9483 OAK BAY RD, PORT LUDLOW, WA 98365-9794
(360) 437-2444
(360) 437-4190
Mailing address
9483 OAK BAY RD, PORT LUDLOW, WA 98365-9794
(360) 437-2444
(360) 437-4190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61155754
WA
Other
Enumeration date
09/22/2021
Last updated
12/20/2022
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