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Individual

CARLY NICOLE BAYLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
631 S HAM LN, LODI, CA 95242-3532
(209) 368-7433
Mailing address
725 HOWE AVE APT 15, SACRAMENTO, CA 95825-4606
(707) 540-2213

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300858
CA

Other

Enumeration date
09/08/2021
Last updated
09/08/2021
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