Individual
ERICA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2301 RESEARCH BLVD, SUITE 110, ROCKVILLE, MD 20850-3204
(301) 424-5200
(301) 424-8063
Mailing address
2301 RESEARCH BLVD, SUITE110, ROCKVILLE, MD 20850-3204
(301) 424-5200
(301) 424-8063
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
06183
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890423500
—
FL
Enumeration date
10/21/2005
Last updated
09/09/2009
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