Provider Demographics
NPI:1811137433
Name:RESMA-LA BATTAGLIA, ANGELA
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:RESMA-LA BATTAGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:RESMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:243 78TH ST
Mailing Address - Street 2:APT. 6D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3036
Mailing Address - Country:US
Mailing Address - Phone:718-491-3177
Mailing Address - Fax:
Practice Address - Street 1:243 78TH ST
Practice Address - Street 2:APT. 6D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3036
Practice Address - Country:US
Practice Address - Phone:718-491-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-22
Last Update Date:2009-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist