Individual
EILEEN FOULSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
321 CENTRE ST, DORCHESTER, MA 02122-1112
(617) 825-6320
Mailing address
1723 HOWELL AVE, RICHLAND, WA 99354-2315
(509) 845-0846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00708
RI
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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