Individual
BRANDON WAYNE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
26300 S HIGHWAY 125, AFTON, OK 74331-6282
(918) 256-0362
(918) 257-8688
Mailing address
26300 S HIGHWAY 125, AFTON, OK 74331-6282
(918) 256-0362
(918) 257-8688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1833
OK
225200000X
Physical Therapy Assistant
2009032388
MO
Other
Enumeration date
10/04/2010
Last updated
02/24/2017
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