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NPI Code Detail

MEDICARE: MR. ROBERT J FOSTER PT

MEDICARE:  MR. ROBERT J FOSTER  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT14870CA

General Provider Information

NPI Number : 1013012343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT J FOSTER PT
Provider Business Mailing Address
First Line : 28351 QUIET HILL LANE
Second Line :
City : TRABUCO CANYON
State : CA
Zip : 92679
Country : US
Telephone Number : 949-395-7417
Fax Number : 949-709-7983
Provider Business Practice Location Address
First Line : 28351 QUIET HILL LANE
Second Line :
City : TRABUCO CANYON
State : CA
Zip : 92679
Country : US
Telephone Number : 949-395-7417
Fax Number : 949-709-7983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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Directions to “ MR. ROBERT J FOSTER PT” Practice Location

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