Individual
MADISON BROOKE FOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3700 LEGACY DR APT 22105, FRISCO, TX 75034-6650
(214) 783-0638
Mailing address
3700 LEGACY DR APT 22105, FRISCO, TX 75034-6650
(214) 783-0638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216557
LICENSE #
TX
Enumeration date
11/07/2020
Last updated
11/07/2020
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