Healthcare Provider Details

I. General information

NPI: 1033142286
Provider Name (Legal Business Name): MARZENA BAKUN BATIGNANI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 01/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20218 MACON PKWY
ORLANDO FL
32833-3851
US

IV. Provider business mailing address

20218 MACON PKWY
ORLANDO FL
32833-3851
US

V. Phone/Fax

Practice location:
  • Phone: 407-568-6678
  • Fax: 407-568-6678
Mailing address:
  • Phone: 407-568-6678
  • Fax: 407-568-6678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT10476
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberOT10476
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: