Healthcare Provider Details

I. General information

NPI: 1346184520
Provider Name (Legal Business Name): DEVIN ROSE FOX OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 HARTFORD TPKE STE U
VERNON CT
06066-4834
US

IV. Provider business mailing address

435 HARTFORD TPKE STE U
VERNON CT
06066-4834
US

V. Phone/Fax

Practice location:
  • Phone: 860-870-8272
  • Fax: 860-875-0804
Mailing address:
  • Phone: 860-870-8272
  • Fax: 860-875-0804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6860
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: