| NPI | 1689694754 |
|---|---|
| Former Name | CYNTHIA ALICE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009849) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-08-05 |