Individual
JESSICA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-5333
(732) 938-5680
Mailing address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-5333
(732) 938-5680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01122700
NJ
Other
Enumeration date
06/12/2023
Last updated
07/12/2023
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