Individual
NATALIE CHANTALL FOGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CLT-LANA
Contact information
Practice address
4025 W BELL RD STE 22, PHOENIX, AZ 85053-2749
(623) 580-9323
Mailing address
4025 W BELL RD STE 22, PHOENIX, AZ 85053-2749
(623) 580-9323
(623) 580-9318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5298
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
5298
AZ
Other
Enumeration date
04/20/2010
Last updated
03/02/2023
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