Nicole Justine Fontaine, ATC Valid NPI
Individual provider · Athletic Trainer · Newington, CT
- NPI
- 1912533811
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- License number
- 663 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-03-23
- Last updated
- 2020-03-23
Practice location
181 Patricia M Genova Dr
Newington, CT 06111-1500
(860) 696-2500