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General NPI Number Information
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NPI Number | 1750276069
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Entity Type | Individual
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Provider Name | KATHRYN THERESE BATTAGLIA MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2415 N TRIPHAMMER RD STE 11
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City | ITHACA
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State | NY
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Zip | 14850-1093
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Country | US
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Telephone | 607-227-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 E NINES POINT LN
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City | BOISE
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State | ID
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Zip | 83702-1864
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | L0000435589
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License Number State | ID
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