Individual
MRS. ASHLEY NICOLE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1600 CRAIN HWY S, SUITE 302, GLEN BURNIE, MD 21061-5577
(410) 768-1213
Mailing address
501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5494
(410) 927-8768
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26075
MD
Other
Enumeration date
08/22/2016
Last updated
10/11/2016
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