Individual
DEANNA L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1203 US HIGHWAY 98, SUITE 1-C, DAPHNE, AL 36526-4277
(251) 621-1021
(251) 621-7508
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1389
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
01
—
515-31298
BCBS
AL
05
—
529917620
—
AL
05
—
890014290
—
AL
Enumeration date
07/18/2006
Last updated
03/26/2009
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