| NPI | 1437698578 |
|---|---|
| Former Name | EMILY CLAIRE FONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22336) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MA 22336) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MA 22336) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |