Nicolette Fonseca, PT, DPT

NPI #1538749817 in Bandon, Oregon

Provider Information

NPI Number
1538749817
Entity Type
Individual
Name
Nicolette Fonseca, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Apr 12, 2021
Last Updated
Apr 12, 2021

Practice Location

Address
913 11TH ST SE STE 2
City
Bandon
State
Oregon
ZIP Code
97411-9168
Phone
(541) 347-4314

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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