Individual
JILL MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4208 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Mailing address
1701 VICTORIA STATION DR, APT 1703, VICTORIA, TX 77901-3027
(361) 484-9981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078816
TX
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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