Celestine Cecile Fountain

NPI 1578881454 - Physical Therapist - 225100000X

NPI Details
NPI 1578881454
Gender Female
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3107 NE 40TH CT
FORT LAUDERDALE FL, 33308-6413, US
Phone (954) 454-2345
Fax
Business Location
9750 ATLANTIC DR
MIRAMAR FL, 33025-4275, US
Phone (954) 436-9338
Fax
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number 53649
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According to our database, Celestine Cecile Fountain NPI is 1578881454, taxonomy code is 225100000X and license number is 53649, license state is located at Florida. Celestine Cecile Fountain physically located at 3107 Ne 40th Ct, Fort Lauderdale FL, 33308-6413. NPI Number Celestine Cecile Fountain has the Individual type.

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1578881454 NPI number is provided on an as is basis without warranty of any kind. 1578881454 is maintained by the National Plan & Provider Enumeration System. The contents of Celestine Cecile Fountain are for informational purposes only.