Individual
JARED B BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1354
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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