Individual
LASHAWN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9394 SIEGEN LN, BATON ROUGE, LA 70810-1542
(225) 778-7111
Mailing address
36244 LASALLE POINTE DR, PRAIRIEVILLE, LA 70769-3073
(225) 937-7427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01377
LA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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