MEDICARE: MRS. CHRISTINA BATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	3563	NC
2	225200000X	Physical Therapy Assistant	006406	NY
3	225200000X	Physical Therapy Assistant	26324	FL

General Provider Information

NPI Number	:	1518176171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA BATES

Provider Business Mailing Address
First Line	:	13082 HAVERHILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-0640
Country	:	US
Telephone Number	:	845-742-7004
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5691
Country	:	US
Telephone Number	:	352-683-2120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/30/2015

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