Kenneth Bautista
Occupational Therapist - Physical Rehabilitation
45 Cleary Ct Apt 11
San Francisco
, California 94109-6515
Kenneth Bautista
Occupational Therapist - Physical Rehabilitation
45 Cleary Ct Apt 11
San Francisco
, California 94109-6515
(415) 572-5922
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Kenneth Bautista
- 45 Cleary Ct Apt 11
- San Francisco, CA
- Zip : 94109-6515
- Phone : (415) 572-5922
Second Address
- Kenneth Bautista
- 45 Cleary Ct Apt 11
- San Francisco, CA
- Zip : 94109-6515
- Phone : (415) 572-5922
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 13617 | CA |
National Provider Identifier
| NPI | 1245636570 |
|---|---|
| Provider Name | Kenneth Bautista |
| First Address | San Francisco, CA 94109-6515 |
| Second Address | San Francisco, CA 94109-6515 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2014 |
| Last Update Date | 11/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.