Individual
ESTEFANIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 E GARRISON BLVD, GASTONIA, NC 28054-5137
(704) 785-0560
(980) 224-8387
Mailing address
2010 N BREVARD ST APT 604, CHARLOTTE, NC 28206-3946
(707) 932-1872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004952
NC
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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