Individual
DR. ROGELIO BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3703 LINDBERGH ST, SAN DIEGO, CA 92154-1654
(619) 750-9227
Mailing address
3703 LINDBERGH ST, SAN DIEGO, CA 92154-1654
(619) 750-9227
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 38292
CA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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