Individual
SANDRA LEE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 651-1938
Mailing address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 651-1938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5634
SC
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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