Individual
JACQUELYN ELIZABETH FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L APPLICANT
Contact information
Practice address
5700 WILLIAMSBURG LANDING DR, WILLIAMSBURG, VA 23185-5215
(757) 565-6505
Mailing address
PO BOX 5932, WILLIAMSBURG, VA 23188-5215
(757) 707-0805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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