Provider Demographics
NPI:1871638213
Name:FOLEY, JOHN JAMES JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JAMES
Last Name:FOLEY
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:899 CLEARVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2323
Mailing Address - Country:US
Mailing Address - Phone:610-694-9589
Mailing Address - Fax:
Practice Address - Street 1:641 TAYLOR STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-3107
Practice Address - Country:US
Practice Address - Phone:610-758-4332
Practice Address - Fax:610-758-6850
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000121A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer