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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDOLPH BAUTISTA, PTA

Active

RANDOLPH BAUTISTA, PTA is a Occupational Therapist healthcare provider located in LAKEWOOD, California. NPI 1255057303 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKEWOOD, CA

Registration Details

NPI Number
1255057303
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2022 (3.7848639599244 yrs)
Last Updated
Oct 19, 2022
License
PTA49750 (CA)

Practice Information

Address
2108 LARK BAY LN
LAKEWOOD, CA, 907122853
Browse CA providers · Browse ZIP 90712
Phone
8183263299
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKEWOOD, CA

Name Credential NPI
JOSELITO SANTOS 1518356344
MS. FLORABEL REYNOSO L.P.T.A 1558926428
DAVID WALKER 1316503295
MISS CHRISTINE ANNE MALLEN SAMONTE 1659996205
FRANK BILLY MAGANA III PTA 1508504929
RICHELLE MATIENZO PTA 1861265928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.