Individual
MR. ANDREO BAUTISTA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14600 SHERMAN WAY STE 300, VAN NUYS, CA 91405-2272
(818) 756-2563
Mailing address
2272 BAXTER ST, LOS ANGELES, CA 90039-3663
(818) 489-6864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49732
CA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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