Individual
DR. QUANDRA CENTURIA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, OTD, OTR/L
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 553-1670
Mailing address
7800 WATERFORD LAKES DR APT 1733, CHARLOTTE, NC 28210-0157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16547
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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