Individual
DEANNA FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 LOHMANS CROSSING RD, LAKEWAY, TX 78734-5274
(737) 707-2779
Mailing address
7915 JONES BRANCH DR APT 115, MC LEAN, VA 22102-3227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
10/12/2022
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