BATSON PEDIATRIC PHYSICAL THERAPY AND SPORT REHABILITATION NPI 1649402629

NPI Information

BATSON PEDIATRIC PHYSICAL THERAPY AND SPORT REHABILITATION is a specialist technologist other in Wauconda, IL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. BATSON PEDIATRIC PHYSICAL THERAPY AND SPORT REHABILITATION NPI is 1649402629. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nicholas A. Batson.

The provider's business location address is:

25753 W IVANHOE RD
WAUCONDA, IL
ZIP 60084-366
Phone: (847) 254-1708
Fax: (847) 487-0759

The provider's authorized official is Nicholas Avellino Batson .
The authorized official title is Owner/manager and has the following contact phone number (847) 254-1708.

The enumeration date for this NPI number is 8/10/2009 and was last updated on 8/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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