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Individual

MR. ALBERTO ANTONIO FUENTES II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
970 E EMORY RD, KNOXVILLE, TN 37938-4617
(865) 947-6622
Mailing address
970 E EMORY RD, KNOXVILLE, TN 37938-4617
(865) 947-6622

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19123
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q071205
TN
Enumeration date
08/09/2006
Last updated
11/15/2024
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