Individual
MICHAEL FOGLESONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 NEW STINE RD, BAKERSFIELD, CA 93309-3505
(661) 834-0620
Mailing address
9008 RANGELEY CT, BAKERSFIELD, CA 93313-6137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51357
CA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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