Individual
MARTY WILLIAM FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2114 ANGUS RD, SUITE 107, CHARLOTTESVILLE, VA 22901-2768
(434) 295-4473
(434) 295-2691
Mailing address
2114 ANGUS RD, STE 107, CHARLOTTESVILLE, VA 22901-2768
(434) 295-4473
(434) 295-2691
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305207220
VA
Other
Enumeration date
05/09/2007
Last updated
12/04/2011
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