MR. Rene Fontanez JR., PTA

NPI #1003264003 in Orlando, Florida

Provider Information

NPI Number
1003264003
Entity Type
Individual
Name
MR. Rene Fontanez JR., PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 31, 2016
Last Updated
Jan 9, 2017

Practice Location

Address
7940 VIA DELLAGIO WAY
Address 2
142
State
Florida
ZIP Code
32819-5400
Phone
(407) 745-4633

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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