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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY FONSECA

Active Sole Proprietor

Physical Therapy Assistant · LUTZ, FL

Registration Details

NPI Number
1174060305
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2017 (9.2612696858647 yrs)
Last Updated
Jan 26, 2017
License
10331 (FL)
Sole Proprietor
Yes

Practice Information

Address
19008 AVENUE BAYONNES
LUTZ, FL, 335585356
Browse FL providers · Browse ZIP 33558
Phone
3054695014
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LUTZ, FL

Name Credential NPI
DINO F LONTOC P.T. 1699776419
MARIA LILIBETH LONTOC P.T. 1235130055
MS. CARMEN L. RIVERA P.T. 1639108632
MRS. HELENA SVANSTROM P.T 1235235326
MRS. MANDI L LEWIS PT 1275630386
MS. KATHLEEN NOEMI BOYLE P.T. 1437238441
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.