Individual
MICHELLE FOSS
Active
Individual
MICHELLE FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
61831
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61831
PHYSICAL THERAPIST
OR
Enumeration date
10/31/2016
Last updated
11/04/2016
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