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Individual

TIFFANY FOGARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
425 BUTTONWOOD ST, WEST READING, PA 19611-1101
(610) 373-5166
Mailing address
258 N ROUTE 183, POTTSVILLE, PA 17901-8806
(570) 436-0301

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009137
PA
225200000X
Physical Therapy Assistant
TEI003970
PA

Other

Enumeration date
12/03/2013
Last updated
08/07/2025
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