Most Relevant Information
Provider Data
| NPI Number: | 1003264003 |
| Provider Name: | RENE FONTANEZ PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA 26634 |
Most Important Dates
| Enumeration Date: | 05/31/2016 |
| Last Updated: | 01/09/2017 |
Provider Practice Location
7940 VIA DELLAGIO WAY
142
ORLANDO
FL
328195400
Practice Location Phone/Fax
| Phone: | 4077454633 |
| Fax: | 4077454635 |
Provider Mailing Location
7940 VIA DELLAGIO WAY
142
ORLANDO
FL
328195400
Provider Mailing Phone/Fax
| Phone: | 4077454633 |
| Fax: | 4077454635 |