Individual
KATHY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
(321) 235-5506
Mailing address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 970-0824
(321) 235-5506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17039
FL
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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