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Individual

HEATHER FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2726 HIGH RIDGE DR, LAKELAND, FL 33812-5831
(863) 660-9389
Mailing address
2726 HIGH RIDGE DR, LAKELAND, FL 33812-5831

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23108
FL

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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