Individual
DR. BRYAN B BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
3705 HAMPTON HILLS DR, LAKELAND, FL 33810-3868
(352) 650-9356
Mailing address
3705 HAMPTON HILLS DR, LAKELAND, FL 33810-3868
(352) 650-9356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23113
FL
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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