Individual
MRS. MONIQUE F FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
CAMELLIA AT DEERWOOD, 10061 SWEETWATER PARKWAY, JACKSONVILLE, FL 32256-3225
(904) 519-1034
Mailing address
1501 WINSTON LN, FLEMING ISLAND, FL 32003-7400
(904) 635-7393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT11535
FL
2251G0304X
Geriatric Physical Therapist
Primary
PT008398
GA
Other
Enumeration date
08/18/2008
Last updated
12/19/2022
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