Individual
KOURTNEY MYCHELL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 225-0748
Mailing address
101 NE 53RD ST APT 3109, OKLAHOMA CITY, OK 73105-1886
(559) 250-8173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5899
OK
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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