Individual
MR. KEVIN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
791 MOSCOW RD, STOWE, VT 05672-4892
(808) 589-7987
Mailing address
791 MOSCOW RD, STOWE, VT 05672-4892
(808) 589-7987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0100473
VT
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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