Individual
JONATHAN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8000 E QUINCY AVE #1700, SARAHCARE AT DTC, DENVER, CO 80237
(303) 579-5935
Mailing address
8500 E JEFFERSON AVE APT 11E, DENVER, CO 80237-1593
(720) 329-5866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-0010447
CO
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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