DARRELL FONTENOT

KINGSPORT, TN
NPI1215325956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  7608)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- DARRELL FONTENOT
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-741-7116
Mailing Address
-- DARRELL FONTENOT
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-741-7116
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