Individual
DANIELLE LEIGH FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1787 E FORT UNION BLVD STE 101, COTTONWOOD HEIGHTS, UT 84121-2868
(801) 883-8203
Mailing address
1787 E FORT UNION BLVD STE 101, COTTONWOOD HEIGHTS, UT 84121-2868
(801) 997-8881
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7388179-2402
UT
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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