Provider Demographics
NPI:1851807556
Name:FOSTER, DEVON UILANI (DPT)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:UILANI
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8751 BISHOP AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6801
Mailing Address - Country:US
Mailing Address - Phone:714-651-2168
Mailing Address - Fax:
Practice Address - Street 1:12881 KNOTT ST STE 103
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-3939
Practice Address - Country:US
Practice Address - Phone:714-892-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist