Individual
CHELSEA E FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EMORY UNIVERSITY, 1440 CLIFTON RD NE, ATLANTA, GA 77640-2428
(678) 294-1084
Mailing address
2124 SHROPSHIRE LN SE, ATLANTA, GA 30316-6903
(678) 294-1084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
08/17/2018
Last updated
08/21/2024
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