Individual
URSULA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6670 JAMES B RIVERS, SUITE 100, STONE MOUNTAIN, GA 30083
(706) 461-2853
Mailing address
1187 PARK BLVD, STONE MOUNTAIN, GA 30083-2213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006247
GA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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