Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2275 | FL |
Y | 225XL0004X | Low Vision | 2275 | FL |
NPI | 1306119789 |
---|---|
Provider Name | Ms. Diane Alice Battaglia |
First Address | Cape Coral, FL 33990-2594 |
Second Address | Cape Coral, FL 33990-2594 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 22/10/2012 |