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

ALLAN M FIESTA, PT

Active

ALLAN M FIESTA, PT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1518307859 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1518307859
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2013 (13.127135430793 yrs)
Last Updated
Feb 4, 2015
Licenses
PT24647 (FL)
PT009552 (GA)

Practice Information

Address
5393 ROOSEVELT BLVD STE 17
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL, 322108424
Browse FL providers · Browse ZIP 32210
Phone
9043898570
Fax
9043898599
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA LEIGH MARSHALL PT 1154326536
DONNA LOUISE ZIEGLER PT 1184629560
DAWN NICHELLE ROSADO MPT 1578568952
DEBORAH JANET ROCKETT PT 1174528566
KYLE G CORBIN PT 1437154804
SARAH L KATSARAS PT 1376548776
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.