Individual
JANE KRISTINE FOREYT
Active
Individual
JANE KRISTINE FOREYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09021R
LA
225100000X
Physical Therapist
Primary
2305210183
VA
225100000X
Physical Therapist
60482703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
05/27/2014
Last updated
04/16/2018
Update your record
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