Shelly Fonseca

NPI #1174060305 in Lutz, Florida

Provider Information

NPI Number
1174060305
Entity Type
Individual
Name
Shelly Fonseca
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Jan 26, 2017
Last Updated
Jan 26, 2017

Practice Location

Address
19008 AVENUE BAYONNES
City
Lutz
State
Florida
ZIP Code
33558-5356
Phone
(305) 469-5014

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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