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Individual

MRS. JENNIFER LYN BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
163 MAIN ST, WAKEFIELD, RI 02879-3504
(401) 782-4049
Mailing address
200 PEAKED ROCK RD, WAKEFIELD, RI 02879-2388
(401) 783-2589

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01565
RI

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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