MRS. Kristin J Fountain

NPI #1679592950 in Laconner, Washington

Provider Information

NPI Number: 1679592950
Entity Type: Individual
Name: MRS. Kristin J Fountain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 18, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 413 MORRIS ST
City: Laconner
State: Washington
ZIP Code: 98257
Phone: (360) 466-7458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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