NPI 1174002133

Jacqueline Bailey, CP

Practitioner Prosthetist Mansfield, OH

Practice location

Address: 2149 Stumbo Rd, Mansfield, OH 44906-1265
Phone: (419) 545-7423

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP004121 (OH)

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Registry record

NPI: 1174002133
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2018
Record last updated: 13 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.