Individual
MS. MARIAN S FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3510
(337) 506-3511
Mailing address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3510
(337) 506-3511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00451
LA
Other
Enumeration date
07/16/2006
Last updated
01/18/2008
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