Individual
MRS. SUSAN W BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
12751 HIGHWAY 491 S, UNION, MS 39365-8546
(601) 656-6827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0886
MS
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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