TRACEY BATES

RESTON, VA
NPI1912310582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AL  6423)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: VA  0119005224)
Enumeration Date2014-06-11
Last Update Date2024-09-23
Business Address
TRACEY BATES
1778 FOUNTAIN DR
RESTON, VA 20190-3390
Phone number: 571-926-9398
Mailing Address
TRACEY BATES
579 LEGACY PRIDE DR
HERNDON, VA 20170-5041
Phone number: