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NPI Code Detail

MEDICARE: ANGIE MOONEY FOSTER PT, MS

MEDICARE: ANGIE MOONEY FOSTER PT, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP11056NC
2225100000XPhysical TherapistPT007454GA

General Provider Information

NPI Number : 1598952426
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE MOONEY FOSTER PT, MS
Provider Business Mailing Address
First Line : 102 LEONARD AVE
Second Line :
City : NEWTON
State : NC
Zip : 28658-9649
Country : US
Telephone Number : 828-465-8533
Fax Number :
Provider Business Practice Location Address
First Line : 102 LEONARD AVE
Second Line :
City : NEWTON
State : NC
Zip : 28658-9649
Country : US
Telephone Number : 828-465-8533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 04/15/2026

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