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Oscar Russell Bautista, P.T
NPI 1316135015 · on the registry since 2007 · sole proprietor
Practice
- Address
- 8670 New Salem St.
Unit # 112
San Diego, CA 92126 - Phone
- (858) 231-2780
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-09
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