Provider Demographics
NPI:1245768571
Name:BATTIG, PRISKA
Entity Type:Individual
Prefix:
First Name:PRISKA
Middle Name:
Last Name:BATTIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 LOQUAT PL
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-5719
Mailing Address - Country:US
Mailing Address - Phone:760-889-7227
Mailing Address - Fax:
Practice Address - Street 1:2103 LOQUAT PL
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-5719
Practice Address - Country:US
Practice Address - Phone:760-889-7227
Practice Address - Fax:760-889-7227
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT3436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist