Individual
NICOLE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014192
NY
Other
Enumeration date
08/02/2008
Last updated
08/02/2008
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