Individual
CONSTANCE MARIE FIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5720 STONERIDGE MALL RD STE 390, PLEASANTON, CA 94588-2831
(925) 847-5229
Mailing address
11229 CREEKSIDE CT, DUBLIN, CA 94568-3511
(925) 833-0414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13307
CA
Other
Enumeration date
12/14/2006
Last updated
12/30/2021
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