Individual
JENNY FUENTES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1876 SW 24TH ST, MIAMI, FL 33145-3834
(305) 281-0275
Mailing address
1876 SW 24TH ST, MIAMI, FL 33145-3834
(305) 281-0275
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT16655
FL
Other
Enumeration date
04/26/2012
Last updated
03/03/2025
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