Individual
CHRISTINE FELICIA FOGLEBOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 827-8953
Mailing address
881 GEM CT, VIRGINIA BEACH, VA 23462-1266
(757) 803-2080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603272
VA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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