Individual
ILLYANA KRIVIT FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
(910) 483-8335
Mailing address
16 MINETTA CT, HUNTINGTON, NY 11743-4124
(631) 223-2228
(631) 223-2228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15292
NC
Other
Enumeration date
02/05/2007
Last updated
09/08/2022
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