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Mia Anica Fuentebella, PT
NPI 1710558465 · on the registry since 2021
Practice
- Address
- 812 N Logan Ave
Danville, IL 61832 - Phone
- (217) 443-5000
- Organisation at this address
- Provena Hospitals
Osf Healthcare System
Osf Healthcare System
Osf Healthcare System
United Radiology ServiceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Sex
- Female
- Record last updated
- 2021-07-05
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 Illinois