Individual
MISS KIMBERLY BAUTISTA
Active
Individual
MISS KIMBERLY BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
34171
CA
2251X0800X
Orthopedic Physical Therapist
Primary
4152
HI
Other
Enumeration date
01/20/2016
Last updated
02/26/2016
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