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SHIRLEY FONTAINE

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1093186900

Individual Registrant:
 SHIRLEY  FONTAINE 
Gender: F
Sole Proprietor

Location and contact information for practice:
441 MILFORD ST  BURLINGTON, CT 06013-2212 US
Tel: 860-997-4019  Fax: --

Contact information for business:
441 MILFORD ST  BURLINGTON, CT 06013-2212 US
Tel: --  Fax: --

Registration Information:
NPI: 1093186900
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CT001558

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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