Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 225X00000X | AL |
Y | 225XL0004X | Low Vision | 0275 | AL |
NPI | 1114305026 |
---|---|
Provider Name | Teresa D Foster |
First Address | Huntsville, AL 35824-4002 |
Second Address | Huntsville, AL 35824-4002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 02/11/2019 |