Individual
MR. KEVIN JOHN BATTAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3170 S BLAGG RD, 621 S.BLAGG, PAHRUMP, NV 89048-5493
(774) 228-1201
Mailing address
3170 S BLAGG RD, 621 S.BLAGG, PAHRUMP, NV 89048-5493
(774) 228-1201
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
B08324337107612
NJ
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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