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NPI Code Detail

MEDICARE: ANNABELL BAILLIEZ DPT

MEDICARE:   ANNABELL  BAILLIEZ  DPT
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 TherapistP22487NC

General Provider Information

NPI Number : 1750062253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNABELL BAILLIEZ DPT
Provider Business Mailing Address
First Line : 1004 WERRINGTON DR STE 100
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-6018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1004 WERRINGTON DR STE 100
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-6018
Country : US
Telephone Number : 919-371-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 09/20/2023

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Directions to “ ANNABELL BAILLIEZ DPT” Practice Location

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