Individual
CAMILLE NADIA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
6531 HARRINGTON PL, DOUGLASVILLE, GA 30135
(678) 650-4778
Mailing address
6531 HARRINGTON PL, DOUGLASVILLE, GA 30135-4572
(678) 650-4778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012243
GA
2255A2300X
Athletic Trainer
AT002913
GA
Other
Enumeration date
05/23/2007
Last updated
12/30/2019
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