TIFFANY LEIGH BAITY

MOUNT VERNON, IL
NPI1568911311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.004630)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
Ms. TIFFANY LEIGH BAITY PTA
606 E IL HIGHWAY 15
MOUNT VERNON, IL 62864-5072
Phone number: 618-241-7039
Mailing Address
Ms. TIFFANY LEIGH BAITY PTA
606 E IL HIGHWAY 15
MOUNT VERNON, IL 62864-5072
Phone number: 618-241-7039