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CARLY NICOLE BAYLEY DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1831868314
Individual Registrant: CARLY NICOLE BAYLEY DPT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
631 S HAM LN LODI, CA 95242-3532 US
Tel: 209-368-7433 Fax: --
Tel: 209-368-7433 Fax: --
Contact information for business:
725 HOWE AVE APT 15 SACRAMENTO, CA 95825-4606 US
Tel: 707-540-2213 Fax: --
Tel: 707-540-2213 Fax: --
Registration Information:
NPI: 1831868314
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 300858 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
