Individual
ABIGAIL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4095 US HIGHWAY 1, SUITE 52, MONMOUTH JUNCTION, NJ 08852-2152
(732) 853-8177
Mailing address
4095 US HIGHWAY 1, SUITE 52, MONMOUTH JUNCTION, NJ 08852-2152
(732) 853-8177
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01667900
NJ
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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