Individual
ARIELLE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W 63RD ST, WESTMONT, IL 60559-2910
(877) 407-3422
Mailing address
7421 FRANKFORD RD, DALLAS, TX 75252-8152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121075
TX
Other
Enumeration date
07/17/2023
Last updated
01/03/2025
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