Individual
MRS. KELLY A FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6820 GUEST CALL, UNIT 346, ELKRIDGE, MD 21075-6595
(410) 562-3476
Mailing address
6820 GUEST CALL, UNIT 346, ELKRIDGE, MD 21075-6595
(410) 562-3476
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
2305206539
VA
2251P0200X
Pediatric Physical Therapist
Primary
23294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305206539
VIRGINIA BOARD OF PHYSICAL THERAPY
VA
01
—
23294
MARYLAND STATE BOARD OF PHYSICAL THERAPY
MD
Enumeration date
07/15/2010
Last updated
10/28/2013
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