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Lauren Katherine Bates, PT, DPT

Physical Therapist in Conyers, GA. Individual provider (NPI-1).

NPI number1306562285
StatusActive
Last updated in NPPESOct 13, 2022

Details

NPI
1306562285
Entity type
Individual (NPI-1)
Name
Lauren Katherine Bates
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 13, 2022
Certification date
Oct 12, 2022
Last updated
Oct 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistCP015450TGAYes

Practice location

1603 Georgia Highway 20 Ne Ste 201
Conyers, GA 30012-3946

Phone 770-929-8411

Mailing address

28310 Loiret Ct
Ponchatoula, LA 70454-8101

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