# DEBBIE FONTENOT PHYSICAL THERAPY AND WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457508137
- **Authorized official:** DEBRA G FONTENOT (OWNER/PT)
- **Authorized official phone:** (337) 233-3333

## Contact information

- **Practice address:** 134 JOMELA DR, LAFAYETTE, LA 70503-2512
- **Practice address phone:** (337) 233-3333
- **Mailing address:** PO BOX 52424, LAFAYETTE, LA 70505-2424
- **Mailing address phone:** (337) 233-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0192 | LA | Yes |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 12/17/2008