MICAH D FONTENOT

TOMS RIVER, NJ
NPI1780441543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  CP032252T)
Enumeration Date2024-02-28
Last Update Date2024-06-26
Business Address
MICAH D FONTENOT PT, DPT
368 LAKEHURST RD STE 206
TOMS RIVER, NJ 08755-7339
Phone number: 732-557-9980
Mailing Address
MICAH D FONTENOT PT, DPT
1001 SCHOOL ST
HOUMA, LA 70360-4629
Phone number: 985-868-1540