Individual
MRS. ANNA MARIE BAUTISTA AVELLANOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
525 BRANSON LANDING BLVD., BRANSON, MO 65616
(417) 348-8212
(417) 348-8218
Mailing address
109 BRIARCLIFF RD, BRANSON, MO 65616-3735
(417) 339-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT111250
MO
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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