Individual
LISA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
35105 KENAI SPUR HWY, STE A, SOLDOTNA, AK 99669-7658
(907) 260-7444
Mailing address
48584 ERENDIRA CIR, KENAI, AK 99611-9399
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
120723
AK
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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