Provider Demographics
NPI:1164466611
Name:BATEJAN, VIOLET L (PT)
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:L
Last Name:BATEJAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E BOOT RD
Mailing Address - Street 2:SUITE 200C
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5300
Mailing Address - Country:US
Mailing Address - Phone:610-436-9878
Mailing Address - Fax:610-436-7565
Practice Address - Street 1:1450 E BOOT RD
Practice Address - Street 2:SUITE 200C
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5300
Practice Address - Country:US
Practice Address - Phone:610-436-9878
Practice Address - Fax:610-436-7565
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002680L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0741951000OtherIBC
PA551496OtherHBS
PA0741951000OtherIBC