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NPI Code Detail

MEDICARE: ANGELA FOSTER OTR

MEDICARE: ANGELA FOSTER OTR
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
1225X00000XOccupational Therapist612NE

General Provider Information

NPI Number : 1841402021
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA FOSTER OTR
Provider Business Mailing Address
First Line : 310 EAST 17TH STREET
Second Line :
City : FREMONT
State : NE
Zip : 68025
Country : US
Telephone Number : 402-727-6328
Fax Number :
Provider Business Practice Location Address
First Line : 7686 WALNUT ST
Second Line :
City : OMAHA
State : NE
Zip : 68124-1717
Country : US
Telephone Number : 402-819-8477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 08/21/2023

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Directions to “ ANGELA FOSTER OTR” Practice Location

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