Individual
MRS. KELLY A FOX
Active
Individual
MRS. KELLY A FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
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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