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Individual

BAILEY HAYES LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
11340 PEMBROOKE SQ STE 211, WALDORF, MD 20603-4808
(240) 530-8188
(301) 638-0470
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-8535

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
046916-01
NY
225100000X
Physical Therapist
Primary
28390
MD

Other

Enumeration date
02/11/2021
Last updated
06/06/2021
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