NPI 1710709647

Matthew Fontaine

Practitioner Physical Therapy Assistant Southington, CT

Practice location

Address: 13 Fieldstone Ln, Southington, CT 06489-3942
Phone: (401) 465-1788

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2251 (CT)

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Registry record

NPI: 1710709647
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2024
Record last updated: 30 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.