Individual
JESSICA BAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8785 SW 165TH AVE STE 101, MIAMI, FL 33193-5827
(305) 388-0004
Mailing address
10457 SW 80TH ST, MIAMI, FL 33173-2913
(786) 294-3748
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT22570
FL
Other
Enumeration date
12/03/2021
Last updated
05/17/2024
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