Individual
ANGELA FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
(515) 331-3190
Mailing address
4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
(515) 331-3190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03422
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225100000X
MEDICARE HMO
IA
Enumeration date
08/01/2019
Last updated
08/01/2019
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