# MARY E FONTAINE, MS, RPT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700296910
- **Authorized official:** MRS. MARY E FONTAINE MS, RPT (PEDIATRIC PHYSICAL THERAPIST)
- **Authorized official phone:** (603) 964-8819

## Contact information

- **Practice address:** 654 WALLIS RD, RYE, NH 03870-2245
- **Practice address phone:** (603) 964-8819
- **Mailing address:** 654 WALLIS RD, RYE, NH 03870-2245
- **Mailing address phone:** (603) 964-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | PT \#0188 | NH | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014