Individual
CAITLIN FOVENYESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
302831
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL.0019211
CO
225100000X
Physical Therapist
—
CO
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982326518
PHYSICAL MEDICINE
CO
01
—
302831
PHYSICAL THERAPY CA LICENSE
CA
Enumeration date
09/12/2022
Last updated
03/16/2026
Update your record
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