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JESSICA FONTAINE DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1912598723

Individual Registrant:
 JESSICA  FONTAINE DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
435 HARTFORD TPKE STE U  VERNON ROCKVILLE, CT 06066-4834 US
Tel: 860-979-1611  Fax: --

Contact information for business:
435 HARTFORD TPKE STE U  VERNON ROCKVILLE, CT 06066-4834 US
Tel: 860-979-1611  Fax: --

Registration Information:
NPI: 1912598723
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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