| NPI | 1740631985 |
|---|---|
| Former Name | ALEXIS CHRISTIAN CORTEZ-BAUTISTA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299833) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-01-25 |