Individual
MICHAEL THOMAS FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 243-1643
Mailing address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 243-1643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005983
KY
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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