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Individual

KENDRA BAILEY-LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
560 GRADY AVE STE C, FAYETTEVILLE, GA 30214-1975
(770) 461-6488
Mailing address
560 GRADY AVE STE C, FAYETTEVILLE, GA 30214-1975
(770) 461-6488

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009737
GA

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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