Individual
MR. BRIAN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 E MILL RD UNIT 2, LONG VALLEY, NJ 07853-3118
(908) 867-0899
Mailing address
62 E MILL RD UNIT 2, LONG VALLEY, NJ 07853-3118
(908) 867-0899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00409000
NJ
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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