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ROBERT M FONTECCHIO
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1679858252
Individual Registrant: ROBERT M FONTECCHIO
Gender: M
Sole Proprietor
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: --
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: --
Tel: 831-607-8748 Fax: --
Registration Information:
NPI: 1679858252
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
