Individual
MR. ALEXIS CHRISTIAN BAUTISTA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4660 SPYRES WAY, MODESTO, CA 95356-9804
(209) 578-3290
Mailing address
4660 SPYRES WAY, MODESTO, CA 95356-9804
(209) 578-3290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225100000X
Physical Therapist
Primary
299833
CA
Other
Enumeration date
06/29/2016
Last updated
01/25/2023
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