Individual
NATHANIEL FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 S MAIN ST, SUITE C, LONGMONT, CO 80501-1716
(303) 702-1612
Mailing address
105 E CHESTER ST, APARTMENT A, LAFAYETTE, CO 80026-1191
(513) 602-0928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8792
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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