Individual
DIANE MARIE BATTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
360 N MAIN ST STE 9, SOUTHINGTON, CT 06489-2503
(860) 621-7389
(860) 621-2586
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010875
CONNECTICUT LICENSE
CT
Enumeration date
10/10/2017
Last updated
08/23/2019
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