Bautista, Andrea

Bautista, Andrea is an individual health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Bautista, Andrea can be contacted via phone (973) 972-3466.

Contact Information

Primary practice address
150 Bergen St Newark NJ 07103-2496
Phone: (973) 972-3466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 011003 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 46TA09143200 New Jersey

Profile Details

NPI number 1619606191
LBN Legal business name Bautista, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2022
Last updated Jun 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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