Individual
JENNIFER FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
(308) 761-3372
Mailing address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
715
NE
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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