Individual
CELESTINE CECILE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3107 NE 40TH CT, FORT LAUDERDALE, FL 33308-6413
(954) 454-2345
Mailing address
9750 ATLANTIC DR, MIRAMAR, FL 33025-4275
(954) 436-9338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
53649
FL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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