Melody T. Bautista Pt

NPI #1558590885 in Brewster, New York

Provider Information

NPI Number: 1558590885
Entity Type: Organization
Organization Name: Melody T. Bautista Pt
Primary Specialty: Physical Therapist
Enumeration Date: Jul 8, 2009
Last Updated: Jul 8, 2009

Practice Location

Address: 2 HERMITAGE RD
City: Brewster
State: New York
ZIP Code: 10509-5823
Phone: (914) 309-9564

Authorized Official

Name: MELODY BAUTISTA, PT
Title: SOLE PROPRIETOR
Phone: (914) 309-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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