Provider Demographics
NPI:1033142286
Name:BATIGNANI, MARZENA BAKUN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARZENA
Middle Name:BAKUN
Last Name:BATIGNANI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20218 MACON PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32833-3851
Mailing Address - Country:US
Mailing Address - Phone:407-568-6678
Mailing Address - Fax:407-568-6678
Practice Address - Street 1:20218 MACON PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32833-3851
Practice Address - Country:US
Practice Address - Phone:407-568-6678
Practice Address - Fax:407-568-6678
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10476225X00000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL887685100Medicaid