Organization
COMPASS VISION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J FOUNTAINE OTR/L, CLVT (OWNER, LEAD THERAPIST)
(813) 872-5747
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
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548205453
—
FL
Enumeration date
03/20/2023
Last updated
03/20/2023
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