Provider Demographics
NPI:1346392123
Name:M & C FOSTER INC
Entity Type:Organization
Organization Name:M & C FOSTER INC
Other - Org Name:ORLAND PHYSICAL THERAPY & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAILIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:530-865-8457
Mailing Address - Street 1:1014 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-1671
Mailing Address - Country:US
Mailing Address - Phone:530-865-8457
Mailing Address - Fax:530-865-8462
Practice Address - Street 1:1014 SOUTH ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1671
Practice Address - Country:US
Practice Address - Phone:530-865-8457
Practice Address - Fax:530-865-8462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26068225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26095ZMedicare ID - Type Unspecified