Individual
CHARIZMA FONTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
301 UNIVERSITY BVD, GALVESTON, TX 77555-0596
(409) 772-9479
(409) 772-8881
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0596
(409) 772-9479
(409) 772-8881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1229818
TX
Other
Enumeration date
10/12/2015
Last updated
01/30/2025
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