Individual
BENJAMIN TULLY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9732
Mailing address
5115 LEESBURG PIKE, FALLS CHURCH, VA 22041-3207
(703) 824-0701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211311
VA
Other
Enumeration date
10/02/2017
Last updated
05/06/2025
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