Individual provider · NPI-1

Anna Maria Solema Bayle Bautista, RPT

Physical Therapist · Joplin, MO

NPI number1447588512
StatusActive
Last updated in NPPESNov 30, 2009

Details

NPI
1447588512
Entity type
Individual (NPI-1)
Name
Mrs. Anna Maria Solema Bayle Bautista
Credential
RPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 30, 2009
Last updated
Nov 30, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2008005174MOYes

Practice location

214 W 5th St
Suite D & E
Joplin, MO 64801-2501

Phone 417-782-2917

Mailing address

214 W 5th St
Suite D & E
Joplin, MO 64801-2501

Phone 417-782-2917

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