Individual
LAUREN T BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
555 E BROADWAY AVE STE 100, JACKSON, WY 83001-8640
(307) 739-7487
Mailing address
PO BOX 7304, JACKSON, WY 83002-7304
(307) 739-7487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1421
WY
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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