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Individual

DR. KOLE DANIEL FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1600 UNIVERSITY AVE, BOLIVAR, MO 65613-2578
(417) 328-1991
Mailing address
2355 S SEDONA CT, BOLIVAR, MO 65613-8615

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1291488
TX
225100000X
Physical Therapist
Primary
2021035307
MO

Other

Enumeration date
06/01/2017
Last updated
09/20/2024
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