Individual
DANIELLE LYNN FOGLESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 1ST ST N, NEWTON, IA 50208-3119
(641) 791-5000
Mailing address
1348 S GOODRICH ST, COLFAX, IA 50054-7555
(641) 660-9723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001180
IA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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