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Individual

KENNEDI FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18334 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(612) 230-0308
(833) 615-4259
Mailing address
16101 99TH PL N APT 412, MAPLE GROVE, MN 55369-7733

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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