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Icleia Bates, COTA

NPI 1427479286 · on the registry since 2013 · sole proprietor

Practice

Address
10368 Panama St
Hollywood, FL 33026
Phone
(954) 821-3547

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida