Individual
MARYBETH WETZEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 FARM ROAD, NEW CANAAN, CT 06840-6698
(203) 594-5200
(203) 594-5412
Mailing address
3 FARM ROAD, NEW CANAAN, CT 06840-6698
(203) 594-5200
(203) 594-5412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005449
CT
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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