| Doctor Name: | TAMIKA FONTAINE |
| NPI Number: | 1235271594 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P. T. |
| License Number: | 20126 |
| Business Practice Address: | 10401 Hospital Dr Suite #102 Clinton, MD - 207353110 |
| Business Phone Number: | 3018560050 |
| Business Fax Number: | 3018680518 |
| Mailing Address: | 7503 Surratts Rd, CLINTON |
| State: | MD |
| Postal Code: | 207353358 |
| Phone Number: | 3018707001 |
| Fax Number: | 3018706697 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 20126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |