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Individual

MRS. LORETTA JEAN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
12020 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3041
(410) 833-3801
Mailing address
9413 FAREWELL RD, COLUMBIA, MD 21045-4441
(410) 730-9108

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00275
MD

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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