Dr Julio C Fuentes, PT, DPT | |
5930 Adobe Rd, Twentynine Palms, CA 92277-2356 | |
(760) 367-1743 | |
(760) 367-1083 |
Full Name | Dr Julio C Fuentes |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 5930 Adobe Rd, Twentynine Palms, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710244090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT36676 (California) | Primary |
Provider Name | Sharp Rees-stealy Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Mailing Address | Practice Location Address |
---|---|
Dr Julio C Fuentes, PT, DPT 3350 Valley Rd, Bonita, CA 91902-4171 Ph: () - | Dr Julio C Fuentes, PT, DPT 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 |
Jennifer Johanne Kozlowski, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jordan Alexander Clevenger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Mrs. Patricia Lynn Frank, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Spencer Gray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Patricia A Sena-bolding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Hi-desert Physical Rehabilitation Group Physical Therapist Medicare: Medicare Enrolled Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 | |
Mr. Sidney Tobin Tavss, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-369-1743 |