Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLETTE FONSECA, PT, DPT
ActiveNICOLETTE FONSECA, PT, DPT is a Physical Therapy Assistant healthcare provider located in BANDON, Oregon. NPI 1538749817 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BANDON, OR
Registration Details
- NPI Number
- 1538749817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2021 (5.312323824579 yrs)
- Last Updated
- Apr 12, 2021
- Licenses
-
11-06089 (KS)11972 (TN)
Practice Information
- Address
-
913 11TH ST SE STE 2BANDON, OR, 974119168Browse OR providers · Browse ZIP 97411
- Phone
- 5413474314
- Fax
- 5413478006
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BANDON, OR
| Name | Credential | NPI |
|---|---|---|
| MR. TRISTAN PROETT | MSPT | 1457468225 |
| MRS. COURTNEY V HIEBING | PT | 1417389388 |
| PAUL EDWARD SMITH | PT, DPT | 1396414363 |
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.