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ALLAN FIESTA, PT

PT

Physical Therapist

NPI: 1518307859IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT24647(FL)PT009552(GA)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2000

Contact & Hours

Address
5393 ROOSEVELT BLVD STE 17, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32210

Quick Facts

NPI
1518307859
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
26

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