Individual
MELINDA G FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1705 COPE AVE E, MAPLEWOOD, MN 55109-2639
(651) 773-0354
(651) 773-0371
Mailing address
5608 COLFAX AVE N, BROOKLYN CENTER, MN 55430-3150
(763) 560-3437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200372
MN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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