Whalio Doctors

NPI 1619606191

Andrea Bautista

Practitioner Occupational Therapy Assistant Newark, NJ

Practice location

Address
150 Bergen St, Newark, NJ 07103-2496
Phone
(973) 972-3466
Mailing address
74 Maple St Unit 711, Jersey City, NJ 07304-4266

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09143200 (NJ)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 011003 (NY)

Registry record

NPI
1619606191
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Jun 2022
Record last updated
9 Jun 2022

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.