| Doctor Name: | KERRY FOGARTY |
| NPI Number: | 1841341245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 15449 |
| Business Practice Address: | 56 New Driftway Scituate, MA - 020664533 |
| Business Phone Number: | 7815443434 |
| Business Fax Number: | 7815443946 |
| Mailing Address: | 535 S Main St, RANDOLPH |
| State: | MA |
| Postal Code: | 023685254 |
| Phone Number: | 7819613370 |
| Fax Number: | 7817677531 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 12/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 15449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |