| NPI | 1043752561 |
|---|---|
| Former Name | ANNIE E BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292444) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-09-17 |