DEREK FONTENOT

EUNICE, LA
NPI1598138521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09105R)
Enumeration Date2015-11-13
Last Update Date2015-11-13
Business Address
Mr. DEREK FONTENOT
240 E LAUREL AVE
EUNICE, LA 70535-3418
Phone number: 337-546-1915
Mailing Address
Mr. DEREK FONTENOT
240 E LAUREL AVE
EUNICE, LA 70535-3418
Phone number: 337-546-1915