| NPI | 1598898959 |
|---|---|
| Former Name | ANGELA BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2043) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MT 2043PT) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MT 2043) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-10-18 |