Individual
MRS. KRISTY A BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3305 S. ORANGE AVENUE, ORLANDO, FL 32806
(407) 599-4001
Mailing address
3948 LAKESIDE RESERVE LN, ORLANDO, FL 32810-2811
(407) 376-0463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13670
FL
Other
Enumeration date
01/16/2008
Last updated
10/03/2017
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