Individual
BRENDA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 CRAIG ST APT 108B, SULPHUR SPRINGS, TX 75482-3881
(405) 268-2598
Mailing address
590 CRAIG ST APT 108B, SULPHUR SPRINGS, TX 75482-3881
(405) 268-2598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211826
TEXAS OT BOARD
TX
Enumeration date
06/28/2012
Last updated
09/09/2018
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