Individual
MR. KIMBERLY AUNDRE' FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA-L
Contact information
Practice address
1904 GRANDSTAND DR, SAN ANTONIO, TX 78238-4508
(210) 520-8070
(210) 521-7688
Mailing address
1904 GRANDSTAND DR, SAN ANTONIO, TX 78238-4508
(210) 520-8070
(210) 521-7688
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
209498
TX
Other
Enumeration date
12/29/2005
Last updated
03/08/2010
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