Individual
MRS. MICHELLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7677 YANKEE ST, CENTERVILLE, OH 45459-3475
(937) 401-6514
Mailing address
7424 BARR CIR, CENTERVILLE, OH 45459-3507
(937) 241-7910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA095555
OH
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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