Provider Demographics
NPI:1639350945
Name:BATES, RHONDA SUE (PTA/COTA)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:SUE
Last Name:BATES
Suffix:
Gender:F
Credentials:PTA/COTA
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:SUE
Other - Last Name:BARROWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 JOHNS WAY
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:VT
Mailing Address - Zip Code:05701-9402
Mailing Address - Country:US
Mailing Address - Phone:802-345-5808
Mailing Address - Fax:
Practice Address - Street 1:8 GILL TERRACE
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:VT
Practice Address - Zip Code:05419
Practice Address - Country:US
Practice Address - Phone:802-228-4571
Practice Address - Fax:802-228-8008
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT041-0000393225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant