| NPI | 1306296629 |
|---|---|
| Former Name | BAILEE BURNINGHAM MCGRATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12304848-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023554) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-11-14 |