Individual
MR. MARC-OLIVIER ROGER FOGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
(323) 465-2106
Mailing address
3502 JASMINE AVE APT 204, LOS ANGELES, CA 90034-4914
(310) 926-6798
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48690
CA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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