Organization Name: | BATSON PEDIATRIC PHYSICAL THERAPY AND SPORT REHABILITATION |
NPI Number: | 1649402629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS AVELLINO BATSON (OWNER/MANAGER) |
Mailing Address: | 25753 W Ivanhoe Rd Wauconda |
State: | IL US |
Postal Code: | 600842366 |
Phone Number: | 8472541708 |
Fax Number: | 8474870759 |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 08/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 213000023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |