Individual
BAILEY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474-8852
(912) 277-2044
Mailing address
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474-8852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011466
GA
2255A2300X
Athletic Trainer
BOC153612
GA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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