Individual
CAMILA VALERIA FUENTES WILTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
10178 BERRYWOOD CIR, SHREVEPORT, LA 71106-7692
(225) 241-2469
Mailing address
6318 DOUBLE TREE DR, BATON ROUGE, LA 70817-8915
(225) 241-2469
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
07227
LA
Other
Enumeration date
10/09/2008
Last updated
10/15/2019
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