Grealita Bautista, PT
NPI #1972720035 in Jackson, New Jersey
Provider Information
- NPI Number
- 1972720035
- Entity Type
- Individual
- Name
- Grealita Bautista, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11 HISTORY LN
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2209
- Phone
- (732) 367-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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