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1003264003
RENE FONTANEZ
ORLANDO, FL
NPI
1003264003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 26634)
Enumeration Date
2016-05-31
Last Update Date
2017-01-09
Business Address
Mr. RENE FONTANEZ PTA
7940 VIA DELLAGIO WAY 142
ORLANDO, FL 32819-5400
Phone number: 407-745-4633
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Mailing Address
Mr. RENE FONTANEZ PTA
7940 VIA DELLAGIO WAY 142
ORLANDO, FL 32819-5400
Phone number: 407-745-4633
Copy
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