MS. Caroline Gordy Fountain, PHYSICAL THERAPIST

NPI #1043987647 in Raymond, Mississippi

Provider Information

NPI Number: 1043987647
Entity Type: Individual
Name: MS. Caroline Gordy Fountain, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Aug 23, 2021
Last Updated: Oct 30, 2023

Practice Location

Address: 13010 HWY 18
City: Raymond
State: Mississippi
ZIP Code: 39154-9526
Phone: (601) 857-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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