Organization
FONTAINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C FONTAINE PT, MPT, DPT (OWNER)
(240) 476-2352
Entity
Organization
Contact information
Practice address
18704 WILLOW GROVE RD, OLNEY, MD 20832-1226
(240) 476-2352
Mailing address
18704 WILLOW GROVE RD, OLNEY, MD 20832-1226
(240) 476-2352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19959
MD
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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