Individual
ALESSANDRO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2821 S WALDEN ST, SEATTLE, WA 98144-6830
(206) 577-6298
Mailing address
17806 32ND AVE S APT 16, SEATAC, WA 98188-4226
(248) 238-5519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60718963
WA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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