Individual
EMILY ELIZABETH FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
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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