Doctor Name: | MR. MATT CHARLES CASSIDY BATES |
NPI Number: | 1104173285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | P14489 |
Business Practice Address: | 1803 Forest Hills Rd W Wilson, NC - 278933412 |
Business Phone Number: | 2522439629 |
Business Fax Number: | 9193131276 |
Mailing Address: | 120 William Penn Plz, DURHAM |
State: | NC |
Postal Code: | 277042150 |
Phone Number: | 9192205255 |
Fax Number: | 9193131276 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P14489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |