Individual
KAREN S FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1862 SEMINOLE RD, ATLANTIC BEACH, FL 32233-5916
(904) 568-4014
Mailing address
1862 SEMINOLE RD, ATLANTIC BEACH, FL 32233-5916
(904) 568-4014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880465601
—
FL
Enumeration date
02/12/2007
Last updated
05/17/2013
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