Individual
STEPHANIE BATDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7584 IDA EAST RD, IDA, MI 48140-9760
(419) 360-4932
Mailing address
7584 IDA EAST RD, IDA, MI 48140-9760
(419) 360-4932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502003176
MI
225200000X
Physical Therapy Assistant
Primary
PTA.07941
OH
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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