Individual
DEBRA G. FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
134 JOMELA DR, LAFAYETTE, LA 70503-2512
(337) 233-3333
(337) 232-3559
Mailing address
134 JOMELA DR, LAFAYETTE, LA 70503-2512
(337) 233-3333
(337) 232-3559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00192
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982059
—
LA
Enumeration date
03/23/2007
Last updated
07/09/2007
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