DR. Michael F La Fountaine, EDD, ATC, FACSM
NPI #1225656507 in South Orange, New Jersey
Provider Information
- NPI Number
- 1225656507
- Entity Type
- Individual
- Name
- DR. Michael F La Fountaine, EDD, ATC, FACSM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- EDD, ATC, FACSM
- Enumeration Date
- Jul 13, 2020
- Last Updated
- Jul 13, 2020
Practice Location
- Address
- 400 S ORANGE AVE
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-2697
- Phone
- (973) 275-2918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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