Individual
THOMAS P. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MS,CERT. MDT
Contact information
Practice address
1601 ALDERSGATE RD, SUITE D-4, LITTLE ROCK, AR 72205-6613
(501) 687-0851
(501) 687-0853
Mailing address
1601 ALDERSGATE RD, LITTLE ROCK, AR 72205-6613
(501) 796-3240
(501) 796-3242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2450
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156654721
—
AR
01
—
5X452
BLUE CROSS
AR
Enumeration date
12/19/2006
Last updated
04/20/2016
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