Individual
LARISSA MAE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00878100
NJ
Other
Enumeration date
07/16/2019
Last updated
06/28/2022
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