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Individual

EMILY SUE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
3132 OLD JACKSONVILLE RD STE 140, SPRINGFIELD, IL 62704-7401
(217) 862-0400
Mailing address
706 S JOSEPHINE ST, ATLANTA, IL 61723-8962

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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