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NPI Code Detail

MEDICARE: LAWRENCE WILLIAM BATES OTR

MEDICARE: LAWRENCE WILLIAM BATES OTR
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
1225X00000XOccupational Therapist9537NC
2225X00000XOccupational Therapist4232SC

General Provider Information

NPI Number : 1982722724
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE WILLIAM BATES OTR
Provider Business Mailing Address
First Line : 96 W SNEDEN PL
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-3909
Country : US
Telephone Number : 845-625-7585
Fax Number :
Provider Business Practice Location Address
First Line : 7600 RIVER RD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-6217
Country : US
Telephone Number : 201-854-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 05/13/2026

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