Individual
SHAINA MARIE BATTISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 577-3355
Mailing address
203 PALAMINO TRL, JACKSONVILLE, NC 28546-9774
(704) 985-6169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6606
NC STATE BOARD OF PHYSICAL THERAPY
NC
Enumeration date
03/01/2019
Last updated
10/20/2023
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