NPI 1093231433

Ezequiel Bautista, MTBCNMT

Practitioner Music Therapist Phoenix, AZ

Practice location

Address: 2702 N 3rd Street Suite 1000, Phoenix, AZ 85004
Phone: (602) 840-6410

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X

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Registry record

NPI: 1093231433
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2017
Record last updated: 17 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.