Doctor Name: | MS. CATALINA BAUTISTA |
NPI Number: | 1023164134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7228 Germantown Ave Phila, PA - 191191724 |
Business Phone Number: | 2152486070 |
Business Fax Number: | 2152482410 |
Mailing Address: | 7228 Germantown Ave, PHILA |
State: | PA |
Postal Code: | 191191724 |
Phone Number: | 2152486070 |
Fax Number: | 2152482410 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |