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NPI Profile for EDWINA BAILEY in SOUTH LAKE TAHOE, CA.
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation Practitioner |
225400000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Health Educator |
174H00000X |
| NPI # | 1700603909 |
|
| Status | Active | |
| Credentials | RADT | |
| Entity | Individual | |
| Enumeration date | 09/20/2024 | |
| Last updated | 12/06/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDWINA BAILEY
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EDWINA BAILEY, RADT