DR. MICHAEL LA FOUNTAINE, EDD, ATC, FACSM

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1225656507

Practice Address

400 S ORANGE AVE
South Orange, NJ 07079

Phone: (973) 275-2918

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 25MT00116500 (NJ)

Frequently Asked Questions

NPI 1225656507 is the National Provider Identifier for DR. MICHAEL LA FOUNTAINE, EDD, ATC, FACSM, a Specialist/Technologist - Athletic Trainer provider located in South Orange, NJ. This NPI was enumerated on July 13, 2020.
DR. MICHAEL LA FOUNTAINE, EDD, ATC, FACSM practices at 400 S ORANGE AVE, South Orange, NJ 07079.

Quick Facts

NPI
1225656507
Type
Individual
Enumerated
Jul 13, 2020
Last Updated
Jul 13, 2020

Nearby Providers