CAMILA VALERIA FUENTES WILTCHER (NPI# 1396996278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396996278 |
| Entity Type | Individual |
| Full Name | CAMILA VALERIA FUENTES WILTCHER |
| Credential | D.P.T. |
| Practice Address |
10178 Berrywood Cir Shreveport LA 71106-7692 |
| Mailing Address |
6318 Double Tree Dr Baton Rouge LA 70817-8915 |
| Practice Telephone | 2252412469 |
| Mailing Telephone | 2252412469 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
07227 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10178 BERRYWOOD CIR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348547 | Michael Wayne Wiltcher | Physical Therapist | 10178 Berrywood Cir, Shreveport, LA 71106-7692 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1346524758 | Patricia H. Hooper | Physical Therapist | 5500 Bent Tree Dr, Shreveport, LA 71115-9564 | 2011-10-04 |
| 1134266083 | Wardell Interests, Inc | Physical Therapist | 2522 E. 70th Street, Shreveport, LA 71105 | 2007-01-31 |
| 1356641799 | Shiela Eileen Sterling | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1285934620 | Shannon Marie Davis | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1386944718 | Deborah Banks | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1568523223 | Janine L. Mcdade | Physical Therapist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2006-12-13 |
| 1992866677 | Ashley M. Smith | Physical Therapist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186649 | Abby Elizabeth Lewis | Physical Therapist | 4750 Lake St, Lake Charles, LA 70605-6008 | 2020-05-25 |
| 1730641325 | Mary Beran Heuchert | Physical Therapist | 6147 Shakespeare Dr, Baton Rouge, LA 70817-2920 | 2019-04-02 |
| 1427561141 | Mark - Meaningful Autistic Resources for Kids | Physical Therapist | 41172 New Orleans Dr, Sorrento, LA 70778-3424 | 2017-11-16 |
| 1376063701 | Katie Meyers Stone | Physical Therapist | 1034 Arabella St, New Orleans, LA 70115-3139 | 2017-06-27 |
| 1083034177 | Andrew Stout | Physical Therapist | 706 Sundale Dr, Lake Charles, LA 70607-7032 | 2014-04-16 |
| 1417374661 | Yingna Li | Physical Therapist | 2327 Whitney Dr, Monroe, LA 71201-2954 | 2014-03-26 |
| 1699022897 | Childrens Rehab Therapy | Physical Therapist | 69315 Prevost Rd, Mandeville, LA 70471-7703 | 2012-08-07 |
| 1790031425 | Dominique Player | Physical Therapist | 129 Panther Run, Destrehan, LA 70047-3133 | 2012-07-31 |
| 1780947440 | Lodie Nycol Kyzar | Physical Therapist | 536 Half Moon Ln, Bossier City, LA 71111-5576 | 2012-06-18 |
| 1861764102 | Clarinda Villadores Espiritu | Physical Therapist | 206 Hawthorne Dr, Houma, LA 70360-6296 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on CAMILA VALERIA FUENTES WILTCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.