Individual
DUSTIN PAUL FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2002 JOHNSON ST, SUITE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548
Mailing address
PO BOX 1096, JENNINGS, LA 70546-1096
(337) 824-4547
(337) 824-4548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08026
LA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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