Individual
AMELIA CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 WATERMAN WAY, TAVARES, FL 32778
(352) 609-4000
Mailing address
1505 TRAVERTINE TER, SANFORD, FL 32771-7731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28689
FL
225200000X
Physical Therapy Assistant
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—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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