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Individual
SUE ELLEN FOSTER
Active
Individual
SUE ELLEN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, M ED
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001607L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017610720005
—
PA
01
—
1779331
HIGHMARK
PA
01
—
248971
HEALTH AMERICA
PA
01
—
7268635
AETNA
PA
Enumeration date
11/30/2006
Last updated
03/26/2021
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