Individual
MRS. ELIZABETH GRACE BATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4 OKATIE CENTER BLVD. S, SUITE 101, OKATIE, SC 29909-7530
(843) 705-9480
(843) 705-9481
Mailing address
4 OKATIE CENTER BLVD. S, SUITE 101, OKATIE, SC 29909-7530
(843) 705-9480
(843) 705-9481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5678
PT LICENSE
SC
01
—
P00652285
RAILROAD MEDICARE PTAN
SC
01
—
Q348268783
MEDICARE PTAN
SC
Enumeration date
03/13/2008
Last updated
07/16/2009
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