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NPI Code Detail

MEDICARE: NOELLE BAILEY

MEDICARE: NOELLE BAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01024300NJ

General Provider Information

NPI Number : 1710216221
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE BAILEY
Provider Business Mailing Address
First Line : 1001 CENTER ST
Second Line :
City : LITTLE EGG HARBOR TWP
State : NJ
Zip : 08087-1347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 CENTER ST
Second Line :
City : LITTLE EGG HARBOR TWP
State : NJ
Zip : 08087-1347
Country : US
Telephone Number : 609-294-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2009
Last Update Date : 12/11/2009

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1376989400 — MS. KATHLEEN A WATKINS PHYSICAL THERAPIST
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Directions to “ NOELLE BAILEY ” Practice Location

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