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NPI Code Detail

MEDICARE: MS. ASHLIE MARIE FOSTER

MEDICARE: MS. ASHLIE MARIE FOSTER
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
1106S00000XBehavior Technician
2225X00000XOccupational Therapist5201011213MI

General Provider Information

NPI Number : 1912544594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLIE MARIE FOSTER
Provider Business Mailing Address
First Line : 8285 S SAGINAW ST
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-2468
Country : US
Telephone Number : 844-854-6878
Fax Number :
Provider Business Practice Location Address
First Line : 8283 OFFICE PARK DR
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-2032
Country : US
Telephone Number : 844-854-6878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2019
Last Update Date : 11/02/2022

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Directions to “ MS. ASHLIE MARIE FOSTER ” Practice Location

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