TARA ELIZABETH FONTENOT

CHARLOTTESVILLE, VA
NPI1285992693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305207356)
Enumeration Date2012-04-24
Last Update Date2017-05-24
Business Address
-- TARA ELIZABETH FONTENOT PT, DPT, OCS, ATC
2114 ANGUS RD SUITE 107
CHARLOTTESVILLE, VA 22901-2768
Phone number: 434-295-4473
Mailing Address
-- TARA ELIZABETH FONTENOT PT, DPT, OCS, ATC
504 ALBEMARLE SQ
CHARLOTTESVILLE, VA 22901-7405
Phone number: 434-817-7848
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