Andrea Bates, OTRL
Individual provider Active NPI Occupational Therapist · Brownstown TWP, MI
NPI 1922631985 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1922631985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201008252 (MI)
- Practice address
- 19697 Allen Rd
Brownstown TWP, MI 48183-1119 - Phone
- (734) 479-0437
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008252 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008252 | MI | Yes |
Addresses
Primary practice location
19697 Allen Rd
Brownstown TWP, MI 48183-1119
Mailing address
23800 W Fairway Dr
Woodhaven, MI 48183-3167
Other providers in Brownstown TWP, MI
- Apex Down River Behavioral Health
- Apex Downriver Behavioral Health
- Badhwar Associates, MD PC
- Avlokita Badhwar
- Junita Bahroos
- Khandyce Alaysha Bates
- Alissa Becker
- Kevin J Berlin
- Antoinette Berry
- Nabil Bhatti
All providers in Brownstown TWP, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.