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1245687649
MICHELLE BAUTISTA
GLENDALE, CA
NPI
1245687649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT6579)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- MICHELLE BAUTISTA OTR
605 W BROADWAY
GLENDALE, CA 91204-1007
Phone number: 818-246-7174
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Mailing Address
-- MICHELLE BAUTISTA OTR
605 W BROADWAY
GLENDALE, CA 91204-1007
Phone number:
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