MARY GRACE A BAUTISTA

PORTLAND, OR
NPI1962762260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  PT63986)
Enumeration Date2012-05-21
Last Update Date2023-12-29
Business Address
MARY GRACE A BAUTISTA PT
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-906-4323
Mailing Address
MARY GRACE A BAUTISTA PT
1426 S FAIRFIELD AVE
LOMBARD, IL 60148-4669
Phone number: