Phillip Bautista, PTA

NPI #1255676672 in Goshen, New York

Provider Information

NPI Number
1255676672
Entity Type
Individual
Name
Phillip Bautista, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 11, 2012
Last Updated
Dec 11, 2012

Practice Location

Address
30 HATFIELD LN
Address 2
SUITE 203
City
Goshen
ZIP Code
10924-6766
Phone
(845) 615-2222

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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