Doctor Name: | GLENDA J FUENTES |
NPI Number: | 1427076066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.P.T. |
License Number: | PT 16056 |
Business Practice Address: | 14375 Pipeline Ave Chino, CA - 917105642 |
Business Phone Number: | 9095173884 |
Business Fax Number: | 9095173646 |
Mailing Address: | 1050 Lakes Dr, Suite 100 WEST COVINA |
State: | CA |
Postal Code: | 917902924 |
Phone Number: | 6269186655 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 16056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |