Individual
PATRICIA JO BATDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
211 S BOUNDARY AVE, PROCTOR, MN 55810-2306
(218) 624-4819
(218) 628-1191
Mailing address
211 S BOUNDARY AVE, PROCTOR, MN 55810-2306
(218) 624-4819
(218) 628-1191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1524
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407172547
—
MN
05
—
1407172547
—
WI
Enumeration date
04/14/2010
Last updated
11/18/2011
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