KELLY FOUNTAIN, M.S., L.P.T., L.L.C.

MOBILE, AL
NPI1154714384
Entity TypeOrganization
Authorized ContactKELLY FOUNTAIN
Owner
251-470-7607
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
(Licence: AL  1586)
Enumeration Date2015-03-12
Last Update Date2015-03-12
Business Address
KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number: 251-470-7607
Mailing Address
KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number:
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