Individual
SHANA FONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14535 W DARTMOUTH DR, LAKEWOOD, CO 80228-5494
(303) 985-3383
Mailing address
14535 W DARTMOUTH DR, LAKEWOOD, CO 80228-5494
(303) 985-3383
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3776
CO
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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