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Individual

CHRISTA FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1203 N FAIRFIELD RD, LAYTON, UT 84041-8316
(801) 803-0113
Mailing address
1930 S 2725 W, WEST HAVEN, UT 84401-5105
(208) 870-9855

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7850738-2402
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173549105
UT DRIVERS LISENCE
UT
Enumeration date
02/10/2021
Last updated
02/10/2021
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