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Individual
CHARLES LEO FOX
Active
Individual
CHARLES LEO FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT000948E
PA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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