Individual
DR. JUDY LAROSE FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 S MLK JR DRIVE F L ATKINS BLDG RM 333, WINSTON SALEM, NC 27110-0001
(336) 750-2197
Mailing address
204 ASHLEY TRCE, ELON, NC 27244-7409
(336) 266-3100
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT7611
NC
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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