Larry Fontanilla
Larry Fontanilla is a Rehabilitation Practitioner in Northridge, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
9650 Zelzah AveNorthridge, CA 91325-2003
Phone: (818) 993-9311
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1841327756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 9650 Zelzah Ave, Northridge, CA 91325-2003 |
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9650 Zelzah Ave, Northridge, CA 91325-2003 · (818) 993-9311
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9650 Zelzah Ave, Northridge, CA 91325-2003 · (818) 993-9311