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Individual

MRS. KATHY SUE FOUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BOC CMF

Contact information

Practice address
234 OWEN DRIVE, TOTAL REHAB ORTHOTICS & PROSTHETICS INC, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712
Mailing address
234 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0478V
BCBS
NC
05
7795109
NC
Enumeration date
08/29/2006
Last updated
11/23/2011
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