Individual
LISA J FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 E LEFEVRE RD, STERLING, IL 61081-1278
(815) 625-0400
(815) 626-2896
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1278
(815) 625-0400
(815) 626-2896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.004630
LICENSE
IL
Enumeration date
02/15/2010
Last updated
02/15/2010
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