Individual
TALITHA LAWSON FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
(321) 253-9777
Mailing address
PO BOX 114, GRANT, FL 32949-0114
(321) 890-4026
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT6746
FL
Other
Enumeration date
11/16/2013
Last updated
11/17/2013
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