Individual
NOAH GAGE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
909 E 6TH AVE, OAKDALE, LA 71463-4101
(318) 335-1469
Mailing address
165 RAND ST APT A, WOODWORTH, LA 71485-9752
(318) 625-1728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10486
LA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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