Individual
TRACEY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005224
VA
225X00000X
Occupational Therapist
Primary
6423
AL
225XH1200X
Hand Occupational Therapist
OT008668
GA
Other
Enumeration date
06/11/2014
Last updated
08/21/2026
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