MEDICARE: DR. SARA FOX DPT

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
1	225100000X	Physical Therapist	PT 28617	CA

General Provider Information

NPI Number	:	1205387073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA FOX DPT

Provider Business Mailing Address
First Line	:	2222 BATAAN RD UNIT A
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-1405
Country	:	US
Telephone Number	:	773-562-2721
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 BATAAN RD UNIT A
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-1405
Country	:	US
Telephone Number	:	773-562-2721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	10/17/2016

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Directions to “ DR. SARA FOX DPT” Practice Location

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