Individual
KAREN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 HAMBURG TPKE STE 200, WAYNE, NJ 07470-2049
(973) 595-7500
Mailing address
1048 STONE ST, UNION, NJ 07083-5904
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00973600
NJ
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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