Jacqueline Fuentes, LAT,ATC

NPI 1174068407 · on the registry since 2016

Practice

Address: 120 Charlois Blvd
Winston Salem, NC 27103
Phone: (336) 765-5664
Fax: (336) 768-6713
Organisation at this address: Select Physical Therapy Holdings Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina