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NPI Code Detail

MEDICARE: JACKIE BATTS OTR

MEDICARE: JACKIE BATTS OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-4892OH

General Provider Information

NPI Number : 1881100824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKIE BATTS OTR
Provider Business Mailing Address
First Line : 337 EDDINGTON DR
Second Line :
City : PATASKALA
State : OH
Zip : 43062-7330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5132 SCHUYLKILL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2551
Country : US
Telephone Number : 614-989-9461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2017
Last Update Date : 12/27/2017

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