Individual
STEPHANIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E LAUREL AVE, EUNICE, LA 70535-3418
(337) 466-3644
Mailing address
240 E LAUREL AVE, EUNICE, LA 70535-3418
(337) 466-3644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09513
LA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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