AMANDA FONTENOT

UNION GROVE, WI
NPI1568879724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2014-07-18
Last Update Date2014-09-05
Business Address
-- AMANDA FONTENOT DPT
21425G SPRING ST
UNION GROVE, WI 53182-9707
Phone number: 262-878-6700
Mailing Address
-- AMANDA FONTENOT DPT
1400G WEST ST APT 3
UNION GROVE, WI 53182-1554
Phone number: