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Tracy Constable Bates, PT

Physical Therapist in Midlothian, VA. Individual provider (NPI-1).

NPI number1619083953
StatusActive
Last updated in NPPESNov 28, 2007

Details

NPI
1619083953
Entity type
Individual (NPI-1)
Name
Tracy Constable Bates
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2006
Last updated
Nov 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305005264VAYes

Practice location

13700 St Francis Blvd
Ste 103
Midlothian, VA 23114-3222

Phone 804-379-2414 · Fax 804-379-2413

Mailing address

1518 Denby Way
Midlothian, VA 23114-4321

Phone 804-378-2227

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