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ROBERT M FONTECCHIO

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679858252

Individual Registrant:
 ROBERT M FONTECCHIO 
Gender: M
Sole Proprietor

Location and contact information for practice:
620 LIGHTHOUSE AVE STE 120  PACIFIC GROVE, CA 93950-2661 US
Tel: 831-607-8748  Fax: --

Contact information for business:
530 JUNIPERO AVE APT 1  PACIFIC GROVE, CA 93950-4327 US
Tel: 831-607-8748  Fax: --

Registration Information:
NPI: 1679858252
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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