Individual
EMILY ELIZABETH FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
1033 LA POSADA DR, SUITE 308, AUSTIN, TX 78752-3842
(512) 284-7192
(512) 284-7203
Mailing address
1033 LA POSADA DR, SUITE 308, AUSTIN, TX 78752-3842
(512) 284-7192
(512) 284-7203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106912
TX
225XH1200X
Hand Occupational Therapist
106912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X977
MEDICARE GROUP TPAN
TX
Enumeration date
05/01/2006
Last updated
04/24/2008
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