Individual
KELLY GIBSON BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 PARRISH ST, SUITE A, CANANDAIGUA, NY 14424-1785
(585) 393-0554
Mailing address
4263 COUNTY ROAD 18, CANANDAIGUA, NY 14424-8131
(585) 394-9423
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006822
NY
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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