Healthcare Provider Details

I. General information

NPI: 1467369793
Provider Name (Legal Business Name): GIANNA MARIA BATES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

966 SECOND STREET PIKE
RICHBORO PA
18954-1527
US

IV. Provider business mailing address

460 BEAVER RD
SOUTHAMPTON PA
18966-3503
US

V. Phone/Fax

Practice location:
  • Phone: 267-351-9449
  • Fax:
Mailing address:
  • Phone: 267-981-4069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOC021020
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: