Individual
LAURA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 SAGINAW ST, BAY CITY, MI 48708-5612
(989) 415-2519
Mailing address
811 SAGINAW ST, BAY CITY, MI 48708-5612
(989) 415-2519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010616
IL
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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