Andrea Bautista
Andrea Bautista is an Occupational Therapy Assistant in Newark, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2022.
- Licensed in
- NJ, NY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
150 Bergen StNewark, NJ 07103-2496
Phone: (973) 972-3466
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 46TA09143200 (NJ) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 011003 (NY) |
Record details
| NPI number | 1619606191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 9, 2022 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 74 Maple St Unit 711, Jersey City, NJ 07304-4266 |
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