Individual
FLORENCE REYES BAUTISTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
202 E MTCS RD, MURFREESBORO, TN 37129-1524
(615) 849-8748
Mailing address
104 HOLLOWAY SQ, SMYRNA, TN 37167-5205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000002398
TN
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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