TIMOTHY JAMES FOUNTAINE

CAPE CORAL, FL
NPI1548205453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT11465)
Enumeration Date2006-06-17
Last Update Date2023-04-05
Business Address
Mr. TIMOTHY JAMES FOUNTAINE OTR/L, CLVT
2026 SE 14TH TER
CAPE CORAL, FL 33990-3885
Phone number: 813-727-5747
Mailing Address
Mr. TIMOTHY JAMES FOUNTAINE OTR/L, CLVT
2026 SE 14TH TER
CAPE CORAL, FL 33990-3885
Phone number: 813-727-5747
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