Healthcare Provider Details

I. General information

NPI: 1497791925
Provider Name (Legal Business Name): BRITTA PATRICIA BATTAILE MS, PT, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7605 HEMLOCK ST
BETHESDA MD
20817-5511
US

IV. Provider business mailing address

PO BOX 34045
BETHESDA MD
20827-0045
US

V. Phone/Fax

Practice location:
  • Phone: 301-320-1637
  • Fax:
Mailing address:
  • Phone: 301-320-1637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number16830
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: