Mr. Hannibal Bautista
Mr. Hannibal Bautista is a Physical Therapist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2010
Practice location Address checks out
1402 Lowes Farm PkwyMansfield, TX 76063-8614
Phone: (617) 817-3017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 18884 (MA) |
|---|
Record details
| NPI number | 1912216144 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2010 |
| Last updated in NPPES | October 5, 2010 |
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