Individual provider · Type 1 NPI
Anna Fogg, MSPT
Specialist · Bloomsburg, PA
NPI number
1174553408
Active · reactivated Mar 25, 2021
Practice location
303 Fisher Run Rd
Bloomsburg, PA 17815-7435
Fax (570) 332-5280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT016699L (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1174553408
Anna Fogg, MSPT's National Provider Identifier is 1174553408, issued on Jul 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomsburg, PA. The record was last updated on Mar 25, 2021.