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Organization

DR. STEPHANIE FOSTER, PHD, OTR/L

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA PELOQUIN (ACCOUNT MANAGER)
(949) 215-5008
Entity
Organization

Contact information

Practice address
652 WILDFLOWER DR, SANTA MARIA, CA 93455-6099
(805) 264-1553
(949) 215-4281
Mailing address
PO BOX 2476, ORCUTT, CA 93457-2476
(805) 264-1553
(949) 215-4281

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT3616
CA
225XP0200X
Pediatric Occupational Therapist
OT3616
CA
235Z00000X
Speech-Language Pathologist
Primary
SP20089
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ77913Y
BS GROUP - OT
CA
01
ZZZ78575Y
BS GROUP - SPEECH
CA
Enumeration date
08/19/2014
Last updated
08/19/2014
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