Lequitta Fontenot

NPI #1871822668 in Haverford, Pennsylvania

Provider Information

NPI Number
1871822668
Entity Type
Individual
Name
Lequitta Fontenot
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Dec 8, 2009
Last Updated
Dec 8, 2009

Practice Location

Address
551 W LANCASTER AVE
ZIP Code
19041-1419
Phone
(610) 525-4000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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