Tonya R Bautista

NPI #1992863534 in Madison, Wisconsin

Provider Information

NPI Number: 1992863534
Entity Type: Individual
Name: Tonya R Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 202 S PARK ST
City: Madison
State: Wisconsin
ZIP Code: 53715-1507
Phone: (608) 267-5657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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