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Individual

KENDRA JANINE FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ORL/L, OTD

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60974029
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT60974029
WASHINGTON STATE LICENSE/CREDENTIAL
WA
Enumeration date
11/19/2019
Last updated
10/26/2023
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