Individual ProviderChanelle Soer BautistaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address620 Sand Hill Rd, Palo Alto, CA 94304-2002(855) 916-5814(510) 456-8634PECOS EnrollmentBased on the most recent information from CMS, provider Chanelle Soer Bautista does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568238194Provider TypeIndividualFull NameBautista, Chanelle SoerGenderFemaleSole ProprietorNoEnumeration Date11/27/2023Last Updated12/1/2023Contact InformationPractice LocationPractice Address620 Sand Hill Rd, Palo Alto, CA 94304-2002Phone(855) 916-5814FaxUnlisted FaxMailing LocationMailing Address2456 Driftwood Way, San Leandro, CA 94577-6516Phone(510) 456-8634FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense25733California