Bautista, Phillip

Bautista, Phillip is an individual health care provider with primary practice located at 30 Hatfield Ln Suite 203, Goshen NY 10924-6766. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bautista, Phillip can be contacted via phone (845) 615-2222.

Contact Information

Primary practice address
30 Hatfield Ln Suite 203 Goshen NY 10924-6766
Phone: (845) 615-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 008174 New York

Profile Details

NPI number 1255676672
LBN Legal business name Bautista, Phillip
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 13 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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