Individual
MICHELLE FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA / L
Contact information
Practice address
100 ABBEYVILLE RD, LANCASTER, PA 17603-4604
(717) 397-4261
Mailing address
218 CRESCENT DR, HERSHEY, PA 17033-2335
(717) 269-8072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002169L
PA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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