| NPI | 1114455268 |
|---|---|
| Professional Name | KOLE DANIEL FOSTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021035307) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1291488) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-09-20 |