MR. Hannibal Bautista

NPI #1912216144 in Mansfield, Texas

Provider Information

NPI Number
1912216144
Entity Type
Individual
Name
MR. Hannibal Bautista
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Oct 5, 2010
Last Updated
Oct 5, 2010

Practice Location

Address
1402 LOWES FARM PKWY
State
Texas
ZIP Code
76063-8614
Phone
(617) 817-3017

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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