Individual
VONDA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1390 CAVALIER WAY, ROEBUCK, SC 29376-3367
(864) 576-4212
Mailing address
1390 CAVALIER WAY, ROEBUCK, SC 29376-3367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1899
SC
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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