Provider Demographics
NPI:1689782278
Name:FOSTER, CHERYL L (OT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 SW GAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2032
Mailing Address - Country:US
Mailing Address - Phone:785-554-7991
Mailing Address - Fax:
Practice Address - Street 1:920 SW GAGE BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2032
Practice Address - Country:US
Practice Address - Phone:785-554-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1700876174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSPENDINGMedicare ID - Type UnspecifiedPENDING