Provider Demographics
NPI:1629252911
Name:BAILEY REHAB AND THERAPYWORKS LLC
Entity Type:Organization
Organization Name:BAILEY REHAB AND THERAPYWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:II
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:404-388-8711
Mailing Address - Street 1:5232 YELLOWTAIL LN NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-2843
Mailing Address - Country:US
Mailing Address - Phone:404-388-8711
Mailing Address - Fax:
Practice Address - Street 1:5232 YELLOWTAIL LN NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-2843
Practice Address - Country:US
Practice Address - Phone:404-388-8711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health