Individual
TIMOTHY BRUCE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
Mailing address
1025 WH SMITH BLVD, SUITE 108, GREENVILLE, NC 27834-5052
(252) 215-2215
(252) 215-2216
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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