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Individual
MRS. MADELYN JOY BATES
Active
Individual
MRS. MADELYN JOY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07345
MD
225X00000X
Occupational Therapist
16238
FL
225X00000X
Occupational Therapist
Primary
5975 - 26
WI
Other
Enumeration date
01/25/2017
Last updated
09/27/2017
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