Fuentes, Susan A

Fuentes, Susan A is an sole proprietor health care provider with primary practice located at 12185 Clipper Dr , Woodbridge VA 22192-2236. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fuentes, Susan A can be contacted via phone (703) 496-3486.

Contact Information

Primary practice address
12185 Clipper Dr Woodbridge VA 22192-2236
Phone: (703) 496-3486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119002110 Virginia

Profile Details

NPI number 1205051448
LBN Legal business name Fuentes, Susan A
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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