Individual
KERRY FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 MILL WHARF PLZ STE N11, SCITUATE, MA 02066-1379
(781) 783-5373
(781) 987-9267
Mailing address
3 MILL WHARF PLZ STE N11, SCITUATE, MA 02066-1379
(781) 783-5373
(781) 987-9267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15449
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085865A
—
MA
Enumeration date
01/15/2007
Last updated
12/06/2021
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