Individual
VALERIE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7829 NE ESPERIONE LN, BAINBRIDGE ISLAND, WA 98110-2650
(206) 972-0648
Mailing address
7829 NE ESPERIONE LN, BAINBRIDGE ISLAND, WA 98110-2650
(206) 972-0648
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60042130
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1397
—
SC
Enumeration date
08/20/2006
Last updated
09/19/2012
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