IndividualActive
Abigal Bautista, PTA
NPI 1447542022 · Physical Therapy Assistant · Fremont, CA
Provider details
- NPI number
- 1447542022
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8615 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2296 Country Dr
Fremont, CA 94536-5315
Phone: (510) 797-9299
Fax: (510) 795-4739
Approximate (ZIP-level) locationGet directions
Mailing address
2296 Country Dr
Fremont, CA 94536-5315
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2011-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.