Individual
RAE LYNN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4812 S. 109TH. E. AVE., SUITE 300, TULSA, OK 74146-5822
(918) 236-4590
(918) 236-4595
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1401
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4012
OK
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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