Individual
MRS. AILEEN FUENTES GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 685-3970
Mailing address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 685-3970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12788
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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