Provider Demographics
NPI:1003091794
Name:FOSTER, SALLY J (PT)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:J
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:5710 OLEANDER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4766
Mailing Address - Country:US
Mailing Address - Phone:910-398-6301
Mailing Address - Fax:910-398-6305
Practice Address - Street 1:5710 OLEANDER DR
Practice Address - Street 2:SUITE 210
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4766
Practice Address - Country:US
Practice Address - Phone:910-398-6301
Practice Address - Fax:910-398-6305
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2009-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC4179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist