Individual
ASHLEY MARIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11320 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809-4108
(225) 295-8183
(225) 262-1826
Mailing address
6756 LANGLEY DR, BATON ROUGE, LA 70809-5178
(225) 663-8232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06938
LA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4H775C943
MEDICARE
LA
01
—
P00421655
RAILROAD MEDICARE
LA
Enumeration date
11/16/2006
Last updated
05/19/2021
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