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1538373956
MARTY WILLIAM FONTENOT
CHARLOTTESVILLE, VA
NPI
1538373956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305207220)
Enumeration Date
2007-05-09
Last Update Date
2011-12-04
Business Address
-- MARTY WILLIAM FONTENOT DPT
2114 ANGUS RD SUITE 107
CHARLOTTESVILLE, VA 22901-2768
Phone number: 434-295-4473
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Mailing Address
-- MARTY WILLIAM FONTENOT DPT
2114 ANGUS RD STE 107
CHARLOTTESVILLE, VA 22901-2768
Phone number: 434-295-4473
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