Individual
MARY S BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
601 E PIONEER AVE STE 203, HOMER, AK 99603-7694
(907) 435-1907
Mailing address
601 E PIONEER AVE STE 203, HOMER, AK 99603-7694
(907) 435-1071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
242531
AK
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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