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Individual
ERIC JONATHAN FOSTER
Active
Individual
ERIC JONATHAN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1549
STATE LICENSE NUMBER
MS
Enumeration date
02/17/2009
Last updated
02/17/2009
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