DR. Glen Fontenelle, PT, DPT

NPI #1245823244 in Georgetown, Texas

Provider Information

NPI Number: 1245823244
Entity Type: Individual
Name: DR. Glen Fontenelle, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 19, 2021
Last Updated: Sep 12, 2024

Practice Location

Address: 2104 N AUSTIN AVE
City: Georgetown
State: Texas
ZIP Code: 78626-4511
Phone: (512) 761-7307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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