Provider Demographics
NPI:1881849156
Name:M.BATALDEN OPTIMAL WELLNESS LLC
Entity Type:Organization
Organization Name:M.BATALDEN OPTIMAL WELLNESS LLC
Other - Org Name:IN YOUR HOME PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:BATALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-599-0946
Mailing Address - Street 1:3428 WIDEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4930
Mailing Address - Country:US
Mailing Address - Phone:970-599-0946
Mailing Address - Fax:888-837-0724
Practice Address - Street 1:3428 WIDEFIELD CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4930
Practice Address - Country:US
Practice Address - Phone:970-599-0946
Practice Address - Fax:888-837-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-30
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8541174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty