Individual
MR. NOEL P. BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
34434 KING STREET ROW, SUITE 1, LEWES, DE 19958-4787
(302) 645-0312
(302) 645-0342
Mailing address
34434 KING STREET ROW, SUITE 1, LEWES, DE 19958-4787
(302) 645-0312
(302) 645-0342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0000878
DE
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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