Natalie Chantall Fogelson, PT, CLT-LANA
Physical Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1295051985
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1295051985
- Entity type
- Individual (NPI-1)
- Name
- Natalie Chantall Fogelson
- Credential
- PT, CLT-LANA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2010
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5298 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5298 | AZ |
Practice location
4025 W Bell Rd Ste 22Phoenix, AZ 85053-2749
Phone 623-580-9323
Mailing address
4025 W Bell Rd Ste 22Phoenix, AZ 85053-2749
Phone 623-580-9323 · Fax 623-580-9318
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