Individual
KATHLEEN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
829 MCKENDIMEN RD, SHAMONG, NJ 08088-8661
(800) 950-6066
Mailing address
829 MCKENDIMEN RD, SHAMONG, NJ 08088-8661
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00121100
NJ
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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