Individual
LAURA J FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
#3132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#3132
AL STATE BOARD OF OCCUPATIONAL THERAPY
AL
01
—
7167021
DRIVERS LICENSE
AL
Enumeration date
02/09/2010
Last updated
02/09/2010
Update your record
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