Individual
MS. MITZI J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 961-4520
Mailing address
346 DELAWARE AVE., BUFFALO, NY 14202
(716) 856-7500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003764-1
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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