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Individual

ERIN ELIZABETH FOREMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
279282
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
279282
TEMPORARY LICENSE NUMBER
KY
Enumeration date
08/15/2022
Last updated
08/15/2022
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