Individual
MR. BRADLEY SCOTT FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5877 AIMWELL RD, JENA, LA 71342
(318) 992-8994
(318) 992-8994
Mailing address
155 IDA WELLS RD, DEVILLE, LA 71328-8550
(318) 466-1886
(318) 466-1886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04334
LA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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