Individual
IAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
70 MANHEIM AVE STE 3, BRIDGETON, NJ 08302-2136
(856) 455-9700
(856) 455-9791
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01953000
NJ
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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