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Individual

JULIA BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1640 W. ROOSEVELT RD., 415 DHSP (MC 726), CHICAGO, IL 60608
(507) 313-1007
Mailing address
3404 S UNION AVE APT 2, CHICAGO, IL 60616-4482

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012684
IL

Other

Enumeration date
01/30/2019
Last updated
01/30/2019
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