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Individual
SHAY BAUTISTA NATIVIDAD
Active
Individual
SHAY BAUTISTA NATIVIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018544
PA
225100000X
Physical Therapist
23785
MD
Other
Enumeration date
04/26/2012
Last updated
08/09/2023
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