Individual
JEFFREY BRIAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
251 LEWIS LN STE 104, HAVRE DE GRACE, MD 21078-3752
(410) 939-8530
(410) 939-8534
Mailing address
790 REMINGTON BLVD, SUITE 19, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24086
MD
Other
Enumeration date
07/20/2012
Last updated
06/06/2015
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