MARIA A BAUTISTA - Physical Therapist License in New York | # 070015857

MARIA A BAUTISTA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015857

License Status

INACTIVE

Business

N

First Name

MARIA

Middle

A

Last Name

BAUTISTA

Business Name

MARIA A BAUTISTA

Original Issue Date

08/01/2007

Effective Date

10/24/2014

Expiration Date

09/30/2016

State

NY

Ever Disciplined

N

LastModifiedDate

07/06/2016