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

DR. DAVID DE LA FUENTE, PT, DPT, CSCS

Active

DR. DAVID DE LA FUENTE, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in CLARK, New Jersey. NPI 1861594111 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CLARK, NJ

Registration Details

NPI Number
1861594111
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2006 (19.901208668437 yrs)
Last Updated
Feb 7, 2011
Licenses
40QA01170400 (NJ)
40QA01170400 (NJ)

Practice Information

Address
77 BRANT AVE
SUITE 101
CLARK, NJ, 070661560
Browse NJ providers · Browse ZIP 07066
Phone
7324994540
Fax
7324994577
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CLARK, NJ

Name Credential NPI
MR. LANCE ANTHONY KNAUB DPT 1093756397
LAWRENCE J BOCK PT 1992749931
ROSAANNA PASSUCCI PT, MPT 1558451930
MRS. KATHLEEN MARIE HUGHES MPT 1942380548
DAVID A WRIGHT JR. PT 1811078488
MS. MARIA HESTON PT, MSPT 1366513863
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.