Individual
MR. PAUL ANDRE FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
709 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4207
(337) 234-7018
(337) 234-3347
Mailing address
709 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4207
(337) 234-7018
(337) 234-3347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10427
LA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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