Benjamin Bates, OTR/L
Occupational Therapist in Largo, FL. Individual provider (NPI-1).
NPI number1679080410
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1679080410
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Bates
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2018
- Certification date
- Oct 8, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT20926 | FL | Yes |
| 106S00000X | Behavior Technician | 15-04279 | – |
Practice location
8254 118th AveLargo, FL 33773-5017
Phone 727-541-5304
Mailing address
13236 Fawn Lily DrRiverview, FL 33579-0008
Phone 937-681-0762
Other practice locations
919 S Central Ave
Fairborn, OH 45324-3804
Fairborn, OH 45324-3804
Phone 937-878-4614 · Fax 937-878-4719
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