Individual
EMILY FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1041 CHINABERRY DR STE 100, BOSSIER CITY, LA 71111-2466
(318) 746-1199
Mailing address
4423 FINLEY DR, SHREVEPORT, LA 71105-3215
(903) 387-2685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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