Tonja F Foster, PT

Individual provider Active NPI Physical Therapist · Georgetown, IN

NPI 1164553004 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164553004
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05002301A (IN)
Practice address
3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602
Phone
(502) 741-7750
Fax
(812) 923-6060
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05002301AINMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002301A IN Yes

Addresses

Primary practice location

3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602

Mailing address

3108 Brazil Lake Pkwy
Georgetown, IN 47122-8602
Phone (502) 741-7750

Other providers in Georgetown, IN

All providers in Georgetown, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.