HANNIBAL BAUTISTA

MANSFIELD, TX
NPI1912216144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  18884)
Enumeration Date2010-10-05
Last Update Date2010-10-05
Business Address
Mr. HANNIBAL BAUTISTA
1402 LOWES FARM PKWY
MANSFIELD, TX 76063-8614
Phone number: 617-817-3017
Mailing Address
Mr. HANNIBAL BAUTISTA
1402 LOWES FARM PKWY
MANSFIELD, TX 76063-8614
Phone number: 617-817-3017
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