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NPI Code Detail

MEDICARE: DR. ANTHONY FONTAINE PT, DPT

MEDICARE: DR. ANTHONY FONTAINE PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist28450MD

General Provider Information

NPI Number : 1346817624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY FONTAINE PT, DPT
Provider Business Mailing Address
First Line : 900 PERSEI PL APT 243
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-8647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9141 ALAKING CT STE 112
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-5049
Country : US
Telephone Number : 301-499-4655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 06/07/2021

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