Individual
LINDA FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5165 CANAL ST, MILTON, FL 32570-2256
(850) 623-4054
(850) 623-4987
Mailing address
3924 MESA RD, DESTIN, FL 32541-2061
(850) 623-4054
(850) 623-4987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20294
FL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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