Individual
KASIE LEE FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1080 IVY ST, DENVER, CO 80220-4541
(970) 744-0985
Mailing address
1080 IVY ST, DENVER, CO 80220-4541
(970) 744-0985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013349
CO
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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