Individual
AUTUMN ELAINE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
471 E COUNTY ROAD 900 S, OAKLAND CITY, IN 47660-9009
(812) 766-0185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003076A
IN
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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