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NPI Code Detail

MEDICARE: FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC

MEDICARE: FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1902133689
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOX REHABILITATION SERVICES OF SOUTH CAROLINA, LLC
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1020
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 800 N LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2903
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position : PRESIDENT
Name : TIMOTHY A FOX
Credential : PT, DPT, GCS
Telephone Number : 877-407-3422
Provider Enumeration Date : 11/17/2009
Last Update Date : 12/23/2021

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