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1710709647
MATTHEW FONTAINE
SOUTHINGTON, CT
NPI
1710709647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 2251)
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
MATTHEW FONTAINE
13 FIELDSTONE LN
SOUTHINGTON, CT 06489-3942
Phone number: 401-465-1788
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Mailing Address
MATTHEW FONTAINE
13 FIELDSTONE LN
SOUTHINGTON, CT 06489-3942
Phone number: 401-465-1788
Copy
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