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Individual

MRS. TERRI ELIZABETH BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, SIPT

Contact information

Practice address
195 DELILAH WAY, BRANDENBURG, KY 40108-8645
(270) 422-1405
(270) 422-1430
Mailing address
195 DELILAH WAY, BRANDENBURG, KY 40108-8645
(270) 422-1405
(270) 422-1430

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
KY-R2270
KY
171W00000X
Contractor
Primary
R2270
KY

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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