MR. Timothy James Fountaine, OTR/L, CLVT

NPI #1548205453 in Cape Coral, Florida

Provider Information

NPI Number
1548205453
Entity Type
Individual
Name
MR. Timothy James Fountaine, OTR/L, CLVT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L, CLVT
Enumeration Date
Jun 17, 2006
Last Updated
Apr 5, 2023

Practice Location

Address
2026 SE 14TH TER
State
Florida
ZIP Code
33990-3885
Phone
(813) 727-5747

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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