Most Relevant Information
Provider Data
| NPI Number: | 1003437682 |
| Provider Name: | JENNIFER BAILEY PHYSICAL THERAPISTJE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT006126 |
Most Important Dates
| Enumeration Date: | 05/05/2020 |
| Last Updated: | 05/05/2020 |
Provider Practice Location
423 TWIN LAKES DR
VILLA RICA
GA
301805505
Practice Location Phone/Fax
| Phone: | 7708653484 |
| Fax: |
Provider Mailing Location
423 TWIN LAKES DR
VILLA RICA
GA
301805505
Provider Mailing Phone/Fax
| Phone: | 7708653484 |
| Fax: |