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Individual

ALDEN FONTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
615 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1069
(614) 292-1165
Mailing address
42 FRANKLIN ST, DUXBURY, MA 02332-3204
(781) 291-0447

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3243
MA
2255A2300X
Athletic Trainer
Primary
AT5959
OH

Other

Enumeration date
07/10/2019
Last updated
07/10/2019
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