Individual
MR. MICHAEL J FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22 CRESCENT RD, WESTPORT, CT 06880-4542
(203) 227-5431
(877) 838-9260
Mailing address
22 CRESCENT RD, WESTPORT, CT 06880-4542
(203) 227-5431
(877) 838-9260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6842
SC
225100000X
Physical Therapist
Primary
9134
CT
Other
Enumeration date
07/18/2011
Last updated
12/10/2014
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