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Individual

MRS. LINDSAY HAZEL BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3380 PEACHTREE RD NE UNIT 814, ATLANTA, GA 30326-1645
(337) 309-9493
Mailing address
3380 PEACHTREE RD NE UNIT 814, ATLANTA, GA 30326-1645

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
012260
GA

Other

Enumeration date
11/20/2018
Last updated
11/20/2018
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