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Individual

CHRISTOPHER FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
645 E STATE ST STE 101, EAGLE, ID 83616-5915
(208) 939-9594
(208) 939-9828
Mailing address
645 E STATE ST, STE 101, EAGLE, ID 83616
(208) 939-9594
(208) 939-9828

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5246
ID
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
07/25/2014
Last updated
05/10/2022
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