Individual
MRS. NANCY ANNE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13800 HEACOCK ST STE C136, MORENO VALLEY, CA 92553-3363
(951) 656-6009
Mailing address
4300 CENTRAL AVE, RIVERSIDE, CA 92506-2918
(951) 222-2206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA6679
LICENSE NUMBER
CA
Enumeration date
12/11/2019
Last updated
03/02/2020
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