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NPI Code Detail

MEDICARE: FIAER FOSTER BSCHONS

MEDICARE: FIAER FOSTER BSCHONS
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 TherapistPTL7504CO
2225100000XPhysical TherapistPT00009983WA

General Provider Information

NPI Number : 1427254903
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIAER FOSTER BSCHONS
Provider Business Mailing Address
First Line : 2031 POTTERY AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-2010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2031 POTTERY AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-2010
Country : US
Telephone Number : 360-876-8035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 04/10/2013

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Directions to “ FIAER FOSTER BSCHONS” Practice Location

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