Doctor Name: | WILLIAM ALAN BAILEY |
NPI Number: | 1003173790 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT 3224 |
Business Practice Address: | 706 Oak Grove St Mountain View, AR - 725608601 |
Business Phone Number: | 8702697059 |
Business Fax Number: | |
Mailing Address: | 160 Camp Rd, LOCUST GROVE |
State: | AR |
Postal Code: | 725509547 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT 3224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |