NPI 1114514908
Abdiel Isai Fuentes, OTRL
Practice location
- Address
- 77564 Country Club Dr STE 340, Palm Desert, CA 92211-0450
- Phone
- (760) 772-2838
- Fax
- (760) 772-2838
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1114514908
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Dec 2020
- Record last updated
- 28 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.