| NPI | 1437642535 |
|---|---|
| Former Name | BAILEY A BOLWERK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15385-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023741) |
| 225100000X Physical Therapist (Licence: IL 070.023741) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-08-31 |