Individual
STEPHANIE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
35 SOLDIERS FIELD PL, BRIGHTON, MA 02135-1103
(617) 775-2250
Mailing address
52 BABCOCK ST, APT. #2, BROOKLINE, MA 02446-5987
(617) 251-1012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4053
MA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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