Individual
BAILEY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOC CPED
Contact information
Practice address
2905 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL 35805-4166
(256) 203-2647
Mailing address
2905 BOB WALLACE AVE SW STE B, HUNTSVILLE, AL 35805-4166
(256) 203-2647
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/29/2021
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