Doctor Name: | DR. WILLIAM ROBERT BAILEY |
NPI Number: | 1144201658 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T, O.C.S, S.T.C. |
License Number: | PT001256E |
Business Practice Address: | 2687 Maplevale Rd Brookville, PA - 158254755 |
Business Phone Number: | 8148492442 |
Business Fax Number: | 8148495190 |
Mailing Address: | 430 Innovation Drive, BLAIRSVILLE |
State: | PA |
Postal Code: | 157178096 |
Phone Number: | 7243434060 |
Fax Number: | 7243434069 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | PT001256E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |