| NPI | 1104508720 |
|---|---|
| Former Name | BAILEY DAUGHTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23964) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH11495) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-04-16 |