Provider Demographics
NPI:1821120494
Name:VERTUDES, JOCELYN BATARA (PT)
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:BATARA
Last Name:VERTUDES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JOCELYN
Other - Middle Name:VERTUDES
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:178 E FARMGATE LN
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3422
Mailing Address - Country:US
Mailing Address - Phone:815-919-4341
Mailing Address - Fax:847-277-9958
Practice Address - Street 1:178 E FARMGATE LN
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3422
Practice Address - Country:US
Practice Address - Phone:815-919-4341
Practice Address - Fax:847-277-9958
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist