Wela Bautista

NPI #1992136493 in Lufkin, Texas

Provider Information

NPI Number: 1992136493
Entity Type: Individual
Name: Wela Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 9, 2013
Last Updated: Dec 9, 2013

Practice Location

Address: 402 S JOHN REDDITT DR
City: Lufkin
State: Texas
ZIP Code: 75904-3108
Phone: (936) 632-2107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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