Individual
MR. CHRISTOPHER J FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS, MTC
Contact information
Practice address
3234 CAHABA HEIGHTS RD, VESTAVIA, AL 35243
(205) 298-9101
(205) 298-9103
Mailing address
3234 CAHABA HEIGHTS RD, VESTAVIA, AL 35243-1614
(205) 298-9101
(205) 298-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH3863
AL
2251X0800X
Orthopedic Physical Therapist
Primary
PTH3863
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530042
BCBS OF AL
AL
01
—
7060773
AETNA
AL
05
—
890016350
—
AL
Enumeration date
07/11/2006
Last updated
06/11/2018
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