Individual
AMANDA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W LAKE RD, PLEASANT HILL, TN 38578-3002
(931) 277-3518
Mailing address
55 W LAKE RD, PLEASANT HILL, TN 38578-3002
(931) 277-3518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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