Heather Jean Fogelman PT

NPI 1366869356 - Physical Therapist - 225100000X

NPI Details
NPI 1366869356
Gender Female
Enumeration Date 03/27/2014
Last Updated 03/27/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
518 LINCOLNWAY ST
WOODBINE IA, 51579-1238, US
Phone (712) 647-2566
Fax (712) 647-2964
Business Location
631 N 8TH ST
MISSOURI VALLEY IA, 51555-1102, US
Phone (712) 642-2179
Fax (712) 642-3510
Toxanomy
Taxonomy Code 225100000X
License State Iowa
License Number 03799
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According to our database, Heather Jean Fogelman PT NPI is 1366869356, taxonomy code is 225100000X and license number is 03799, license state is located at Iowa. Heather Jean Fogelman PT physically located at 518 Lincolnway St, Woodbine IA, 51579-1238. NPI Number Heather Jean Fogelman PT has the Individual type.

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1366869356 NPI number is provided on an as is basis without warranty of any kind. 1366869356 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Jean Fogelman PT are for informational purposes only.