Joshua Fogleman

NPI #1124435029 in South Pittsburg, Tennessee

Provider Information

NPI Number: 1124435029
Entity Type: Individual
Name: Joshua Fogleman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 13, 2014
Last Updated: Jul 13, 2014

Practice Location

Address: 201 E 10TH ST
City: South Pittsburg
State: Tennessee
ZIP Code: 37380-1497
Phone: (423) 837-7981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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