Individual
MRS. TIFFANY BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
2 DEERPARK DR, MONMOUTH JUNCTION, NJ 08852-1919
(732) 274-8568
Mailing address
137 FRESH PONDS RD, MONROE, NJ 08831-3017
(732) 484-0285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00528600
NJ
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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