Sam Fontenot, PT

NPI #1669558763 in Magnolia, Texas

Provider Information

NPI Number: 1669558763
Entity Type: Individual
Name: Sam Fontenot, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 19538 INDIGO LAKE DR
City: Magnolia
State: Texas
ZIP Code: 77355-3157
Phone: (281) 252-3438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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