Individual
DOUGLAS G FOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-009640
IL
225X00000X
Occupational Therapist
Primary
18508
CA
Other
Enumeration date
02/07/2012
Last updated
07/02/2021
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