Individual
MARILYN MILLER VONFOERSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., M.A.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2190
OR
225100000X
Physical Therapist
5435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030172000
REGENCE BLUECROSS BLUESHI
OR
05
—
182439
—
OR
01
—
3203119-01
FC65, MEDICARE ADVANTAGE
OR
Enumeration date
02/23/2007
Last updated
07/09/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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