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Individual

MRS. HOLLY BATEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOTR, MS

Contact information

Practice address
10514 STRINGER BRIDGE RD, SAINT AMANT, LA 70774-4217
(225) 571-0131
(225) 675-6806
Mailing address
10514 STRINGER BRIDGE RD, SAINT AMANT, LA 70774-4217
(225) 571-0131
(225) 675-6806

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11893
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTT.Z11893
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
04/02/2014
Last updated
04/02/2014
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