Individual
STACY LYNN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(304) 724-1101
Mailing address
10260 SCULPIN ST APT 207, NEW MARKET, MD 21774-6785
(240) 397-4916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2620
WV
Other
Enumeration date
04/06/2026
Last updated
04/08/2026
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