Individual
JEFFREY L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
410 E 22ND ST, FREMONT, NE 68025-2609
(402) 721-3908
(402) 721-4047
Mailing address
410 E 22ND ST, FREMONT, NE 68025-2609
(402) 721-3908
(402) 721-4047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2985
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47623
BLUE CROSS BLUE SHIELD
NE
Enumeration date
05/27/2011
Last updated
10/04/2011
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