Jason Fonseca, DPT

NPI #1346858560 in Etters, Pennsylvania

Provider Information

NPI Number: 1346858560
Entity Type: Individual
Name: Jason Fonseca, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 14, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 192 NEWBERRY PKWY
City: Etters
State: Pennsylvania
ZIP Code: 17319-8968
Phone: (717) 212-2470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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