Individual
MRS. KIM WARD BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2201 11TH AVE, HALEYVILLE, AL 35565-1613
(205) 486-9478
(205) 486-8738
Mailing address
1552 COUNTY ROAD 19, HALEYVILLE, AL 35565-7429
(205) 486-4813
(205) 486-4813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA612
AL
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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