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Individual

MRS. PAULA RENAE FONTINEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2607 WASHINGTON ST, PELLA, IA 50219-7924
(641) 621-1401
(641) 628-7308
Mailing address
2607 WASHINGTON ST, PELLA, IA 50219-7924
(641) 621-1401
(641) 628-7308

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1513
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208578030
IA
Enumeration date
11/14/2007
Last updated
11/14/2007
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