Walter Tablante De Jesus, RPT

NPI #1023223443 in Fontana, California

Provider Information

NPI Number: 1023223443
Entity Type: Individual
Name: Walter Tablante De Jesus, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13578 HATCHER PL
City: Fontana
State: California
ZIP Code: 92336-2945
Phone: (909) 641-1096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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