Jackielyn Bautista
Jackielyn Bautista is a Physical Therapist in Orlando, Florida. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
3452 Lake Lynda Dr Ste 200Orlando, FL 32817-1481
Phone: (800) 774-7785
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070022293 (IL) |
|---|
Record details
| NPI number | 1477059665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | April 5, 2018 |
| Mailing address | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817-1481 |
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