Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robertson Bautista

Individual provider Occupational Therapy Assistant · NPI 1558227702

Robertson Bautista is an Occupational Therapy Assistant in Tappan, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

39 Lanram Rd
Tappan, NY 10983-1735
Phone: (845) 668-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 010049-01 (NY)

Record details

NPI number1558227702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

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