Anthony Shawn Fogerson OTR

NPI 1720244254 - Occupational Therapist - 225X00000X

NPI Details
NPI 1720244254
Gender Male
Enumeration Date 08/04/2008
Last Updated 08/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2005 BROADWAY
LUBBOCK TX, 79401-3019, US
Phone (806) 744-3800
Fax (806) 744-4210
Business Location
2005 BROADWAY
LUBBOCK TX, 79401-3019, US
Phone (806) 744-3800
Fax (806) 744-4210
Toxanomy
Taxonomy Code 225X00000X
License State Texas
License Number 111917
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According to our database, Mr. Anthony Shawn Fogerson OTR NPI is 1720244254, taxonomy code is 225X00000X and license number is 111917, license state is located at Texas. Anthony Shawn Fogerson OTR physically located at 2005 Broadway, Lubbock TX, 79401-3019. NPI Number Anthony Shawn Fogerson OTR has the Individual type.

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1720244254 NPI number is provided on an as is basis without warranty of any kind. 1720244254 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Shawn Fogerson OTR are for informational purposes only.