Mardell Bates Valid NPI

Individual provider · Physical Therapist · Moncks Corner, SC

NPI

1538580733

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

5101 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2013-12-16

Last updated

2013-12-16