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1780441543
MICAH D FONTENOT
TOMS RIVER, NJ
NPI
1780441543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ CP032252T)
Enumeration Date
2024-02-28
Last Update Date
2024-06-26
Business Address
MICAH D FONTENOT PT, DPT
368 LAKEHURST RD STE 206
TOMS RIVER, NJ 08755-7339
Phone number: 732-557-9980
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Mailing Address
MICAH D FONTENOT PT, DPT
1001 SCHOOL ST
HOUMA, LA 70360-4629
Phone number: 985-868-1540
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