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Individual

VICTORIA ANN BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA12036

Contact information

Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
Mailing address
26817 LAKEVUE DR APT 23, PERRYSBURG, OH 43551-3319
(216) 650-6939

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA12036
OH

Other

Enumeration date
05/05/2019
Last updated
05/05/2019
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