Individual
MS. CHALISA LOUISE FONZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ATC
Contact information
Practice address
2833 MARBLEWOOD DR, COLUMBUS, OH 43219-5038
(614) 688-5890
(614) 292-3258
Mailing address
2833 MARBLEWOOD DR, COLUMBUS, OH 43219-5038
(614) 688-5890
(614) 292-3258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000718
OH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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