Individual
BAILEY STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
131 ROSKEEN CT, PHOENIXVILLE, PA 19460-4083
(267) 664-7674
Mailing address
131 ROSKEEN CT, PHOENIXVILLE, PA 19460-4083
(267) 664-7674
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000364
PA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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