Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 20943 | MD |
Y | 225XE1200X | Ergonomics | 20943 | MD |
NPI | 1427514371 |
---|---|
Provider Name | Jennifer Lynn Foughty |
First Address | Bel Air, MD 21014-2577 |
Second Address | Forest Hill, MD 21050-2831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2019 |
Last Update Date | 15/02/2019 |