PHILLIP BAUTISTA

GOSHEN, NY
NPI1255676672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  008174)
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
-- PHILLIP BAUTISTA PTA
30 HATFIELD LN SUITE 203
GOSHEN, NY 10924-6766
Phone number: 845-615-2222
Mailing Address
-- PHILLIP BAUTISTA PTA
PO BOX 239
GOSHEN, NY 10924-0239
Phone number: 845-615-1585
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