Provider Demographics
NPI:1184353161
Name:NATALIE FORET LLC
Entity type:Organization
Organization Name:NATALIE FORET LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORET
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:757-340-0361
Mailing Address - Street 1:240 MUSTANG TRL STE 8
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7516
Mailing Address - Country:US
Mailing Address - Phone:757-340-0361
Mailing Address - Fax:
Practice Address - Street 1:240 MUSTANG TRL STE 8
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7516
Practice Address - Country:US
Practice Address - Phone:757-650-6814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty