Doctor Name: | TRACY CONSTABLE BATES |
NPI Number: | 1619083953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305005264 |
Business Practice Address: | 13700 St Francis Blvd Ste 103 Midlothian, VA - 231143222 |
Business Phone Number: | 8043792414 |
Business Fax Number: | 8043792413 |
Mailing Address: | 1518 Denby Way, MIDLOTHIAN |
State: | VA |
Postal Code: | 231144321 |
Phone Number: | 8043782227 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305005264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |