Individual
MISS COURTNEY BLAKE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
360 HUNTINGTON AVE, BOSTON, MA 02115-5005
(617) 373-3195
Mailing address
6 SOPHIA DR, REHOBOTH, MA 02769-2423
(508) 742-7564
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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