SUSAN A FUENTES

WOODBRIDGE, VA
NPI1205051448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119002110)
Enumeration Date2007-04-14
Last Update Date2007-07-08
Business Address
-- SUSAN A FUENTES OTRL
12185 CLIPPER DR
WOODBRIDGE, VA 22192-2236
Phone number: 703-496-3486
Mailing Address
-- SUSAN A FUENTES OTRL
10677 DUET CT
MANASSAS, VA 20112-2787
Phone number: 703-361-8466