NPI 1770600975

Tina Lynn Fox, PTA

Practitioner Physical Therapy Assistant Kennebunk, ME

Practice location

Address: 158 Ross Rd, Kennebunk, ME 04043-6532
Phone: (207) 604-7147
Mailing address: 465 Main St APT 103, Springvale, ME 04083-1809

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA3179 (ME)

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Registry record

NPI: 1770600975
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2007
Record last updated: 16 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.