Individual
MATTHEW S. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1622 E 28TH ST, TRENTON, MO 64683-1104
(660) 359-2251
Mailing address
522 SE 60TH AVE, LAREDO, MO 64652-8128
(660) 286-2415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001000276
MO
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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