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Individual
RUSSELL THOMAS FOXE
Active
Individual
RUSSELL THOMAS FOXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8574
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8574
ARIZONA STATE BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
08/03/2009
Last updated
08/03/2009
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