SearchCalifornia225XP0019X

Kenneth Bautista, OTR/L

NPI 1245636570 · on the registry since 2014 · sole proprietor

Practice

Address
45 Cleary Ct Apt 11
San Francisco, CA 94109
Phone
(415) 572-5922

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California