Individual
MR. JOSE MANUEL FONSECA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3249
Mailing address
3218 MONARCH, SAN ANTONIO, TX 78259-2260
(210) 536-4086
(210) 536-4092
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9086
FL
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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