Provider Demographics
NPI:1033232327
Name:OLBRICHT-FOSTER, ADELE LOUISE (PT)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:LOUISE
Last Name:OLBRICHT-FOSTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 CROSS TIMBERS RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2904
Mailing Address - Country:US
Mailing Address - Phone:972-724-0996
Mailing Address - Fax:972-724-0958
Practice Address - Street 1:3315 CROSS TIMBERS RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2904
Practice Address - Country:US
Practice Address - Phone:972-724-0996
Practice Address - Fax:972-724-0958
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist