| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROL MARIE BAUTISTA | 1447965439 | 2023-01-13 |
Carol Marie Bautista is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447965439. Registration indicates Carol Marie Bautista is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist: Pediatrics, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Occupational Therapist, )
| Entity Type | Individual |
| Provider Name | Carol Marie Bautista |
| Practice Office Address | 201 CONSELYEA ST BROOKLYN, NY US |
| Practice Office Telephone | 7187821462 |
| Mailing Address | 611 W 177TH ST APT 53 NEW YORK, NY 100337119 US |
| Business Telephone | 3473272525 |
| Code | Practice | License No State |
|---|---|---|
| 225XP0200X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist: Pediatrics Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Pediatrics Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | 027550
NY |