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Individual
CHELSEA E FOUNTAIN
Active
Individual
CHELSEA E FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
Primary
PA.PA70122729
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
08/17/2018
Last updated
08/24/2026
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