| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SIERRA MARTHA WILSON BAUTISTA | 1588273379 | 2021-11-21 |
Sierra Martha Wilson Bautista is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588273379. Registration indicates Sierra Martha Wilson Bautista is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Sierra Martha Wilson Bautista |
| Practice Office Address | 5272 HEIGHTSVIEW LN W APT 2421 FORT WORTH, TX US |
| Practice Office Telephone | 9728771490 |
| Mailing Address | 5272 HEIGHTSVIEW LN W APT 2421 FORT WORTH, TX 761325390 US |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 1328736
TX |