Amber Fontenot PTA

NPI 1720403470 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1720403470
Gender Female
Enumeration Date 03/04/2014
Last Updated 03/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
26635 LA HIGHWAY 16
DENHAM SPRINGS LA, 70726, US
Phone (225) 664-1484
Fax
Business Location
301 VETERANS BLVD
DENHAM SPRINGS LA, 70726-4722, US
Phone (225) 664-1166
Fax (225) 667-2843
Toxanomy
Taxonomy Code 225200000X
License State Louisiana
License Number A8209
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According to our database, Miss Amber Fontenot PTA NPI is 1720403470, taxonomy code is 225200000X and license number is A8209, license state is located at Louisiana. Amber Fontenot PTA physically located at 26635 La Highway 16, Denham Springs LA, 70726. NPI Number Amber Fontenot PTA has the Individual type.

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1720403470 NPI number is provided on an as is basis without warranty of any kind. 1720403470 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Fontenot PTA are for informational purposes only.