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ETHAN LAFONTAINE, DPT

DPT

Physical Therapist

NPI: 1689396640IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

P21714(NC)11552(SC)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2022

Contact & Hours

Via practice · 2 locations total

Address
14135 BALLANTYNE CORPORATE PL STE 100
CHARLOTTE, NC 28277

Quick Facts

NPI
1689396640
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
4

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