Individual
ROBERT S FOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
507 W CHEVES ST, FLORENCE, SC 29501-4449
(843) 669-1188
(843) 669-7144
Mailing address
3911 WESTBROOK DR, FLORENCE, SC 29501-8721
(843) 665-9131
(843) 665-9131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
361
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0124
—
SC
Enumeration date
07/20/2006
Last updated
07/08/2007
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