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Individual
MR. BRENT FOSTER
Active
Individual
MR. BRENT FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3812
OK
225100000X
Physical Therapist
3812
OK
Other
Enumeration date
12/13/2005
Last updated
11/08/2024
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