Provider Demographics
NPI:1497888945
Name:BATISTICK, HOLLY KATHLEEN (PT)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:KATHLEEN
Last Name:BATISTICK
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 1:205 PARK PL
Mailing Address - Street 2:APT 12
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4344
Mailing Address - Country:US
Mailing Address - Phone:917-647-6241
Mailing Address - Fax:
Practice Address - Street 1:205 PARK PL
Practice Address - Street 2:APT 12
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4344
Practice Address - Country:US
Practice Address - Phone:917-647-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021019-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist