Provider Demographics
NPI:1386860427
Name:FOSTER, ALEEN X (OTR)
Entity Type:Individual
Prefix:MS
First Name:ALEEN
Middle Name:
Last Name:FOSTER
Suffix:X
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 OAK POINTE CURV
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-3402
Mailing Address - Country:US
Mailing Address - Phone:952-942-5240
Mailing Address - Fax:
Practice Address - Street 1:2448 18TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4006
Practice Address - Country:US
Practice Address - Phone:612-721-2762
Practice Address - Fax:612-722-2791
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist