Individual
MICHAEL P FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5424
OR
225100000X
Physical Therapist
6085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840161007
BLUE CROSS
OR
Enumeration date
03/20/2007
Last updated
03/05/2008
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