Individual
TIMOTHY R FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2115 E WOODSTOCK PL, MILWAUKEE, WI 53202-1342
(414) 271-1020
Mailing address
1940 N PROSPECT AVE, 52, MILWAUKEE, WI 53202-1493
(612) 227-8575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4831-026
WI
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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