Individual
MRS. ANNA LIZA DIMACALI BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 REYNOLDS AVE, PARSIPPANY, NJ 07054-3326
(973) 887-8080
Mailing address
45 ELM ST, APT 2C, MORRISTOWN, NJ 07960-4162
(908) 209-2927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00515200
NJ
Other
Enumeration date
11/26/2010
Last updated
11/26/2010
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