Individual
MR. EMMANUEL SALVADOR BAUTISTA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1265 S SEMORAN BLVD, SUITE 1221, WINTER PARK, FL 32792-5527
(407) 681-2999
Mailing address
2320 N VERMILION ST, APARTMENT 217, DANVILLE, IL 61832-1739
(815) 295-3529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008165
IL
225X00000X
Occupational Therapist
Primary
31005053A
IN
Other
Enumeration date
01/28/2010
Last updated
05/09/2011
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