Individual
ANITA MARIE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
(217) 479-5675
Mailing address
1103 MASON LN, WINCHESTER, IL 62694-3675
(217) 248-3989
(217) 616-3163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006007
IL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
10/05/2012
Last updated
01/31/2024
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