Individual
ERIC KEITH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16309 HIGHWAY 190, PORT BARRE, LA 70577
(337) 585-3780
(337) 585-3782
Mailing address
2335 CHURCH ST, ZACHARY, LA 70791-2700
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06633
LA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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