Individual
ASHLEY FOGLESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 E 10TH ST, KEWANEE, IL 61443-1330
(309) 852-2200
(309) 852-2402
Mailing address
110 E 10TH ST, KEWANEE, IL 61443-1330
(309) 852-2200
(309) 852-2402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010269
IL
Other
Enumeration date
10/30/2013
Last updated
03/19/2024
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