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Individual
TAYLOR MARIE FOGARTY
Active
Individual
TAYLOR MARIE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015685
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154813038
—
CO
Enumeration date
06/05/2018
Last updated
09/30/2020
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