| NPI | 1376632562 |
|---|---|
| Former Name | ELIZABETH ELLEN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60315487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27386) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-04-12 |