Provider Demographics
NPI:1992928402
Name:FOSTER, RACHAEL DANIELLE (MOT, MOTR)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:DANIELLE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MOT, MOTR
Other - Prefix:MRS
Other - First Name:RACHAEL
Other - Middle Name:DANIELLE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EIS FQ
Mailing Address - Street 1:6607 SHOREWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2545
Mailing Address - Country:US
Mailing Address - Phone:214-697-9500
Mailing Address - Fax:
Practice Address - Street 1:1617 PARK PLACE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-1300
Practice Address - Country:US
Practice Address - Phone:817-921-5020
Practice Address - Fax:817-921-5022
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112675225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics