Individual
LAURA FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
174 HICKORY LN, FORT VALLEY, VA 22652-3208
(540) 933-6455
Mailing address
174 HICKORY LN, FORT VALLEY, VA 22652-3208
(540) 933-6455
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305001920
VA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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