Keith A Fogle PT, DPT, OCS

NPI 1134202930 - Physical Therapist - 2251X0800X

NPI Details
NPI 1134202930
Gender Male
Enumeration Date 10/23/2006
Last Updated 07/16/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
530 SHADOWS LN
BATON ROUGE LA, 70806-6530, US
Phone (225) 927-9185
Fax (225) 231-3818
Business Location
530 SHADOWS LN
BATON ROUGE LA, 70806-6530, US
Phone (225) 927-9185
Fax (225) 231-3818
Toxanomy
Taxonomy Code 2251X0800X
License State Louisiana
License Number 06970
Remove 1134202930 NPI Number
 

According to our database, Mr. Keith A Fogle PT, DPT, OCS NPI is 1134202930, taxonomy code is 2251X0800X and license number is 06970, license state is located at Louisiana. Keith A Fogle PT, DPT, OCS physically located at 530 Shadows Ln, Baton Rouge LA, 70806-6530. NPI Number Keith A Fogle PT, DPT, OCS has the Individual type.

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1134202930 NPI number is provided on an as is basis without warranty of any kind. 1134202930 is maintained by the National Plan & Provider Enumeration System. The contents of Keith A Fogle PT, DPT, OCS are for informational purposes only.