Individual
MR. CHAD FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2884 N ROADRUNNER PKWY, LAS CRUCES, NM 88011
(575) 522-1110
Mailing address
1122 BEACH DR NE APT 2, ST PETERSBURG, FL 33701-1408
(541) 441-6633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4037
NM
Other
Enumeration date
09/18/2014
Last updated
10/07/2021
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