Vivian Fonticiella, PT
Physical Therapist in Miami, FL. Individual provider (NPI-1).
NPI number1124210331
StatusActive
Last updated in NPPESAug 11, 2007
Details
- NPI
- 1124210331
- Entity type
- Individual (NPI-1)
- Name
- Vivian Fonticiella
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2007
- Last updated
- Aug 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT21912 | FL | Yes |
Practice location
200 S Biscayne BlvdSuite: 15-A
Miami, FL 33131-2310
Phone 305-381-6224 · Fax 305-381-6294
Mailing address
1172 S Dixie Hwy#530
Coral Gables, FL 33146-2918
Phone 305-381-6224 · Fax 305-381-6294
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