Individual
AMY DAWN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3004 W UNIVERSITY BLVD STE 101, DURANT, OK 74701-2999
(580) 920-2231
(580) 920-2242
Mailing address
3004 W UNIVERSITY BLVD STE 101, DURANT, OK 74701-2999
(580) 920-2231
(580) 920-2242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
498
OK
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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