Individual
AMANDA R BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 IRONWOOD PL, COEUR D ALENE, ID 83814-2670
(208) 776-4422
Mailing address
2201 IRONWOOD PL, COEUR D ALENE, ID 83814-2670
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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