Individual
DR. RACHEL FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
210 WESTERN AVE, SOUTH PORTLAND, ME 04106-2424
(207) 775-7468
(207) 775-1080
Mailing address
210 WESTERN AVE, SOUTH PORTLAND, ME 04106-2424
(207) 775-7468
(207) 775-1080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2350
ME
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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