Individual
JILIAN JINKY BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
(248) 477-7373
Mailing address
2743 CHESTERFIELD DR, TROY, MI 48083-2619
(248) 854-6994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012193
MI
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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