Individual
MS. ALICE ANN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 222-2723
Mailing address
8209 N 6TH ST, PHOENIX, AZ 85020-3501
(602) 943-8044
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
225800000X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31154
NCTRC
—
Enumeration date
12/02/2010
Last updated
12/02/2010
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