Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vanessa Bautista, AT

Individual provider Physical Therapy Assistant · NPI 1962096164

Vanessa Bautista, AT is a Physical Therapy Assistant in Chatsworth, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

10400 Canoga Ave Apt 201
Chatsworth, CA 91311-2293
Phone: (818) 441-9911
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA8870 (CA)

Record details

NPI number1962096164
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorYes
NPI enumeratedFebruary 27, 2021
Last updated in NPPESFebruary 27, 2021
Certification dateFebruary 27, 2021
Mailing address10400 Canoga Ave Apt 201, Chatsworth, CA 91311-2293

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