Individual
SARAH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2468
(573) 636-9104
Mailing address
1612 JASPER LN, JEFFERSON CITY, MO 65109-0486
(573) 632-6891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005003636
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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