Individual
MRS. BRENDA SUE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
BRIAN CENTER, 969 COX RD, GASTONIA, NC 28054
(704) 866-8596
Mailing address
3185 MAIDEN HWY, LINCOLNTON, NC 28092-8044
(828) 612-6713
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346360328
—
NC
Enumeration date
06/13/2019
Last updated
06/13/2019
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