Individual
MS. CHRISTINA MARIE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3959 S NOVA RD, BUILDING A, SUITE 3 MARCELLE MEDICAL EXECUTIVE CENTER, PORT ORANGE, FL 32127-9278
(386) 756-3240
Mailing address
3959 S NOVA RD, BUILDING A, SUITE 3 MARCELLE MEDICAL EXECUTIVE CENTER, PORT ORANGE, FL 32127-9278
(386) 756-3240
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
47613
FL
Other
Enumeration date
08/09/2009
Last updated
08/09/2009
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