Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN FONTENELLE, PT, DPT
ActivePhysical Therapy Assistant · GEORGETOWN, TX
Registration Details
- NPI Number
- 1245823244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2021 (5.1882198826722 yrs)
- Last Updated
- Sep 12, 2024
Practice Information
- Address
-
2104 N AUSTIN AVEGEORGETOWN, TX, 786264511Browse TX providers · Browse ZIP 78626
- Phone
- 5127617307
- Fax
- 7377872773
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GEORGETOWN, TX
| Name | Credential | NPI |
|---|---|---|
| TERESA M POINDEXTER | PHYSICAL THERAPIST | 1437107760 |
| MR. ROBERT BRUCE WOOD | PT | 1912010976 |
| MRS. AMANDA N PETTER | PT | 1215040290 |
| MR. BRIAN W. CARR | PT | 1144335191 |
| EDWARD MICHAEL MCTAGUE | PT, DPT, OCS | 1609986546 |
| ANDREW P CREAL | P.T. | 1013064559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.