Provider Demographics
NPI:1528221496
Name:BATTEN, MARJORIE C (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:C
Last Name:BATTEN
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 1:157 FIRST RANGEWAY
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4614
Mailing Address - Country:US
Mailing Address - Phone:207-861-1408
Mailing Address - Fax:
Practice Address - Street 1:157 FIRST RANGEWAY
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4614
Practice Address - Country:US
Practice Address - Phone:207-861-1408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1455174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOT1455OtherMAINE STATE OT LISCENSE