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Individual

APRIL FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
713 MCGUIRE ST, WHITEMAN AIR FORCE BASE, MO 65305-1281
(478) 258-8281
Mailing address
713 MCGUIRE ST, WHITEMAN AIR FORCE BASE, MO 65305-1281
(478) 258-8281

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0013402
CO
225200000X
Physical Therapy Assistant
Primary
2021011060
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013402
PHYSICAL THERAPIST ASSISTANT LICENSE
CO
01
053434440
DRIVERS LICENSE
GA
Enumeration date
06/11/2015
Last updated
04/15/2021
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