Healthcare Provider Details
I. General information
NPI: 1043541386
Provider Name (Legal Business Name): DEBORAH LEE FOSTER RRT, CPFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2010
Last Update Date: 01/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3601 S 6TH AVE
TUCSON AZ
85723-0001
US
IV. Provider business mailing address
10214 E ESSEX VILLAGE DR
TUCSON AZ
85748-2101
US
V. Phone/Fax
- Phone: 520-792-1450
- Fax:
- Phone: 520-792-1450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2279P1004X |
| Taxonomy | Pulmonary Diagnostics Registered Respiratory Therapist |
| License Number | 008442 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279P1006X |
| Taxonomy | Pulmonary Function Technologist Registered Respiratory Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: