Bautista, Justine Mae
Bautista, Justine Mae is an individual health care provider with primary practice located at 2076 Daniel Stuart Sq , Woodbridge VA 22191-3315. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bautista, Justine Mae can be contacted via phone (703) 492-6934.Contact Information
Primary practice address
2076 Daniel Stuart Sq
Woodbridge VA 22191-3315
Phone: (703) 492-6934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305102956 | Virginia |
Profile Details
| NPI number | 1700843083 |
|---|---|
| LBN Legal business name | Bautista, Justine Mae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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