STEPHEN CHARLES FONTAINE

ROCKVILLE, MD
NPI1720202963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: MD  19959)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mr. STEPHEN CHARLES FONTAINE PT,MPT,DPT
11921 ROCKVILLE PIKE # 404
ROCKVILLE, MD 20852-2737
Phone number: 301-881-7246
Mailing Address
Mr. STEPHEN CHARLES FONTAINE PT,MPT,DPT
18704 WILLOW GROVE RD
OLNEY, MD 20832-1226
Phone number: 301-774-4728