Provider Demographics
NPI:1528029766
Name:FOSTER, JULIE A (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:FOSTER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N HOMER LN
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:IN
Mailing Address - Zip Code:47995-8077
Mailing Address - Country:US
Mailing Address - Phone:219-279-2652
Mailing Address - Fax:
Practice Address - Street 1:211 N HOMER LN
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:IN
Practice Address - Zip Code:47995-8077
Practice Address - Country:US
Practice Address - Phone:219-279-2652
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist