Joseph L Fountain, ATC
NPI #1265477178 in Middletown, Connecticut
Provider Information
- NPI Number
- 1265477178
- Entity Type
- Individual
- Name
- Joseph L Fountain, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 161 CROSS ST
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06459-0001
- Phone
- (860) 685-3528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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