Individual
LORI FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 W LINCOLN ST, DIX, IL 62830-1469
(773) 227-2343
Mailing address
208 W LINCOLN ST, DIX, IL 62830-1469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003324
IL
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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