Individual
HANNAH GRACE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4031 WIREGRASS DR, DOTHAN, AL 36301-9500
(334) 791-4611
Mailing address
229 DOZIER DR APT 436, TROY, AL 36081-3044
(334) 791-4611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AL
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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