Individual
RICHARD BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
105 BEN CASEY DRIVE, STE 127, FORT MILL, SC 29708-8561
(803) 802-5855
(803) 802-5869
Mailing address
105 BEN CASEY DRIVE, SUITE 127, FORT MILL, SC 29708-8561
(803) 802-5855
(803) 802-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3317
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4586
—
SC
Enumeration date
08/25/2006
Last updated
02/22/2008
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