Shirley Fontaine

NPI #1093186900 in Burlington, Connecticut

Provider Information

NPI Number: 1093186900
Entity Type: Individual
Name: Shirley Fontaine
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 441 MILFORD ST
City: Burlington
State: Connecticut
ZIP Code: 06013-2212
Phone: (860) 997-4019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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