Individual
CHARLA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
135 LOUANN LN, HENDERSONVILLE, TN 37075-2505
(615) 509-8727
Mailing address
135 LOUANN LN, HENDERSONVILLE, TN 37075-2505
(615) 509-8727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1964
TN
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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