Individual
DOMINICK FONTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27240 HAGGERTY RD, STE. E-15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
20209 REDROSE DR, STERLING, VA 20165-2533
(202) 413-0823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000829
VA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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