Fosburgh, David T
Fosburgh, David T is an individual health care provider with primary practice located at 3289 Court St , Pekin IL 61554-6208. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fosburgh, David T can be contacted via phone (309) 347-0090.Contact Information
Primary practice address
3289 Court St
Pekin IL 61554-6208
Phone: (309) 347-0090
Fax: (309) 347-0098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-023454 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1659898955 |
|---|---|
| LBN Legal business name | Fosburgh, David T |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2017 |
| Last updated | Apr 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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