Healthcare Provider Details

I. General information

NPI: 1891074639
Provider Name (Legal Business Name): LAURA ELIZABETH FOSTER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 LAUREL ST
TYNDALL SD
57066-2214
US

IV. Provider business mailing address

PO BOX 512
PARKSTON SD
57366-0512
US

V. Phone/Fax

Practice location:
  • Phone: 605-589-3350
  • Fax:
Mailing address:
  • Phone: 605-677-7824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0808
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: