Bailey Tiura
Rehabilitation Practitioner in Novato, CA. Individual provider (NPI-1).
NPI number1982159323
StatusActive
Last updated in NPPESAug 15, 2016
Details
- NPI
- 1982159323
- Entity type
- Individual (NPI-1)
- Name
- Bailey Tiura
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2016
- Last updated
- Aug 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
1385 N Hamilton PkwyNovato, CA 94949-8276
Phone 415-382-3363
Mailing address
1620 Golden Gate DrModesto, CA 95350-2731
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