Organization
COMPASS VISION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J FOUNTAINE OTR/L, CLVT (OWNER, LEAD THERAPIST)
(813) 727-5747
Entity
Organization
Contact information
Practice address
2026 SE 14TH TER, CAPE CORAL, FL 33990-3885
(813) 727-5747
Mailing address
2026 SE 14TH TER, CAPE CORAL, FL 33990-3885
(813) 727-5747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
03/27/2024
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