Individual
FOSTER MAURICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 315, RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391
Mailing address
PO BOX 315, RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3494
MS
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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