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NPI Code Detail

MEDICARE: SYLVIA JEAN FOX LPT

MEDICARE:   SYLVIA JEAN FOX  LPT
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
1225100000XPhysical Therapist1142016TX

General Provider Information

NPI Number : 1972641819
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA JEAN FOX LPT
Provider Business Mailing Address
First Line : 12209 SWEET CHERRY CT
Second Line :
City : KELLER
State : TX
Zip : 76248-6718
Country : US
Telephone Number : 817-377-3422
Fax Number : 817-735-8615
Provider Business Practice Location Address
First Line : 3600 W 7TH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2534
Country : US
Telephone Number : 817-377-3422
Fax Number : 817-735-8615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ SYLVIA JEAN FOX LPT” Practice Location

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