Bailey Alexandra Tadlock, DPT
Physical Therapist in Raleigh, NC. Individual provider (NPI-1).
NPI number1104570852
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1104570852
- Entity type
- Individual (NPI-1)
- Name
- Bailey Alexandra Tadlock
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P21072 | NC | Yes |
| 225100000X | Physical Therapist | – | NC |
Practice location
8470 Falls Of Neuse Rd Ste 100Raleigh, NC 27615-3550
Phone 919-803-0738 · Fax 919-882-1727
Mailing address
8470 Falls Of Neuse Rd Ste 100Raleigh, NC 27615-3550
Phone 919-803-0738 · Fax 919-882-1727
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