Individual
WENA ANGULO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2011 CORONA RD STE 301, COLUMBIA, MO 65203-2548
(573) 303-5138
Mailing address
2011 CORONA RD STE 301, COLUMBIA, MO 65203-2548
(573) 303-5138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018885
IL
Other
Enumeration date
01/27/2016
Last updated
01/08/2021
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