Individual
MR. JEFFREY L. FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT,ATC
Contact information
Practice address
1515 SAINT FRANCIS AVE STE 140, SHAKOPEE, MN 55379-4307
(952) 403-2011
Mailing address
108 CARVER CREEK CIR, CARVER, MN 55315-9510
(952) 403-2001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5181
MN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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