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Organization

FOSTER PHYSICAL THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WARREN C FOSTER PT (PRESIDENT)
(903) 691-2111
Entity
Organization

Contact information

Practice address
7209 N RICHLAND DR, TEXARKANA, TX 75503-0654
(903) 692-2111
Mailing address
7209 N RICHLAND DR, TEXARKANA, TX 75503-0654
(903) 692-2111

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346708245
TX
05
1962655563
TX
Enumeration date
03/12/2019
Last updated
03/14/2019
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