Individual
ANNA ELIZABETH FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1212 S AIR DEPOT BLVD STE 9, OKLAHOMA CITY, OK 73110-4860
(405) 455-6868
Mailing address
3101 AERIE DR, EDMOND, OK 73013-7477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1894
OK
Other
Enumeration date
01/02/2015
Last updated
03/31/2022
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