Provider Demographics
NPI:1194924845
Name:FOSTER, JAMES PATRICK (JAMES FOSTER, OTR/L)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:FOSTER
Suffix:
Gender:M
Credentials:JAMES FOSTER, 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:HC 2 BOX 9605
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-9332
Mailing Address - Country:US
Mailing Address - Phone:808-557-6674
Mailing Address - Fax:808-966-9224
Practice Address - Street 1:15-1612 3RD AVE
Practice Address - Street 2:
Practice Address - City:KEA'AU
Practice Address - State:HI
Practice Address - Zip Code:96749-0000
Practice Address - Country:US
Practice Address - Phone:808-557-6674
Practice Address - Fax:808-966-9224
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-517174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist