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Mrs. Nicole C. Bailke, MPT
Pediatric Physical Therapist in Glendale, Wisconsin
NPI 1912943796

Nicole C. Bailke is a Pediatric Physical Therapist based in Glendale, WI and is specialized in Pediatrics. Nicole C. Bailke practices in Glendale, WI and has the professional credentials of MPT. The NPI Number for Nicole C. Bailke is 1912943796 and holds a License No. 9966-024 (Wisconsin).

The current practice location address for Nicole C. Bailke is 6700 N. Port Washington Rd., Glendale, WI and can be reached out via phone at 414-351-8850 and via fax at 414-351-8846.

Location: 6700 N. Port Washington Rd., Glendale, WI, 53217-3919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912943796
Provider Name
Nicole C. Bailke
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
6700 N. Port Washington Rd., Glendale, WI, 53217-3919
Phone Number
414-351-8850
Fax Number
414-351-8846
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40405800 05 WI
institution
Provider Business Practice Location Address Details
Address
6700 N. Port Washington Rd.
City
Glendale
State
Wisconsin
Zip
53217-3919
Phone Number
414-351-8850
Fax Number
414-351-8846
person
Provider Business Mailing Address Details
Address
6700 N. Port Washington Rd.
City
Glendale
State
Wisconsin
Zip
53217-3919
Phone Number
414-351-8850
Fax Number
414-351-8846
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
9966-024 (Wisconsin)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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