Provider Demographics
NPI:1780304964
Name:FOSTER, ADRIANA DENISE (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:DENISE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 BUFORD HWY STE 109
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-6121
Mailing Address - Country:US
Mailing Address - Phone:251-643-8896
Mailing Address - Fax:
Practice Address - Street 1:2140 BUFORD HWY STE 109
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-6121
Practice Address - Country:US
Practice Address - Phone:470-589-1742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT008586225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist