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Individual

KATHLEEN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
44 DEERING AVE, APT. 2, PORTLAND, ME 04101-2292
(610) 716-5320
Mailing address
1924 GILPIN AVE, WILMINGTON, DE 19806-2308
(610) 716-5320

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OA3257
ME
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001852
DE

Other

Enumeration date
12/05/2016
Last updated
06/18/2019
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