Individual
SHOBAH CAPULONG-FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
321 SWIFT FOX RUN, MADISONVILLE, LA 70447
(985) 246-0112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01078F
LA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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