Individual
MR. STEPHEN CHARLES FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,MPT,DPT
Contact information
Practice address
11921 ROCKVILLE PIKE # 404, ROCKVILLE, MD 20852-2737
(301) 881-7246
Mailing address
18704 WILLOW GROVE RD, OLNEY, MD 20832-1226
(301) 774-4728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19959
MD
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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