Individual
TIMOTHY BRUCE FOSTER
Active
Individual
TIMOTHY BRUCE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO004117
KY
225100000X
Physical Therapist
P14092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795522
—
NC
Enumeration date
03/17/2007
Last updated
04/03/2013
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