| NPI | 1700162971 |
|---|---|
| Doing Business As | FOGERTY MUSIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JONNETTA FOGERTY Owner, Director 812-340-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225A00000X Music Therapist |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2016-03-16 |