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Contact Information

MARISSA BAUTISTA, MOT, OTR/L
339 E ROWLAND ST
COVINA, CA91723-3153
 Phone: 626-339-0268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARISSA BAUTISTA · (Female)

NPI # 1851049001
Status Active
Credentials MOT, OTR/L
Entity Individual
Enumeration date 03/16/2022
Last updated 03/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # OT23354
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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