IndividualActive
Bailey Manego
NPI 1609475581 · Recreational Therapist Assistant · Stockton, CA
Provider details
- NPI number
- 1609475581
- Entity type
- Individual
- Primary specialty
- Recreational Therapist AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
1212 N California St
Stockton, CA 95202-1552
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.