Individual
HEATHER JEAN FOGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
518 LINCOLNWAY ST, WOODBINE, IA 51579-1238
(712) 647-2566
(712) 647-2964
Mailing address
631 N 8TH ST, MISSOURI VALLEY, IA 51555-1102
(712) 642-2179
(712) 642-3510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03799
IA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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