Individual
MELISSA R FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 ENGLISH GARDENS PKWY, LAFAYETTE, LA 70503-5680
(337) 322-7744
Mailing address
216 ENGLISH GARDENS PKWY, LAFAYETTE, LA 70503-5680
(337) 322-7744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05135
LA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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