Organization
NATALIE FOGELSON PLLC
Active
Other names
Center for Oncological Rehabilitation and Lymphedema
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE CHANTALL FOGELSON PT, CLT-LANA (OWNER/MEDICAL DIRECTOR)
(623) 580-9323
Entity
Organization
Contact information
Practice address
4025 W BELL RD STE 22, PHOENIX, AZ 85053-2749
(623) 580-9323
(235) 809-3186
Mailing address
PO BOX 3635, COTTONWOOD, AZ 86326-2561
(928) 639-0166
(928) 639-0167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5298
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589960
—
AZ
Enumeration date
08/06/2010
Last updated
04/10/2023
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