Individual
ALEX D FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
25 BRIDGE ST, BELCHERTOWN, MA 01007-8909
(413) 323-1020
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL25757
MA
Other
Enumeration date
04/19/2022
Last updated
01/25/2024
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