Doctor Name: | DEREK LEE FOGLE |
NPI Number: | 1275834608 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 23481 |
Business Practice Address: | 9099 Ridgefield Dr Suite 202 Frederick, MD - 217016713 |
Business Phone Number: | 3016965595 |
Business Fax Number: | 3016960846 |
Mailing Address: | 9099 Ridgefield Dr, Suite 202 FREDERICK |
State: | MD |
Postal Code: | 217016713 |
Phone Number: | 3016965595 |
Fax Number: | 3016960846 |
NPI Enumeration Date: | 11/17/2010 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |