Individual
JACEY BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12612 S 4380 W, PAYSON, UT 84651-9685
(208) 539-5087
Mailing address
12612 S 4380 W, PAYSON, UT 84651-9685
(208) 539-5087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
UT
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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