Individual
MIRANDA LEE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Mailing address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012028496
MO
Other
Enumeration date
09/20/2012
Last updated
05/15/2026
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