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Individual

LISA A PUCKETT-FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5989 MEIJER DR STE 4, KID POWER THERAPY SERVICES, MILFORD, OH 45150-1544
(513) 575-5431
(513) 575-0801
Mailing address
5989 MEIJER DR STE 4, KID POWER THERAPY SERVICES, MILFORD, OH 45150-1544
(513) 575-5431
(513) 575-0801

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-03417
OH

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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