Individual
EDITH BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT-ASSISTANT
Contact information
Practice address
2108 CHIHUAHUA ST STE 2, LAREDO, TX 78043-3658
(956) 568-4571
Mailing address
2108 CHIHUAHUA ST STE 2, LAREDO, TX 78043-3658
(956) 568-4571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051137
TX
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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