Provider Demographics
NPI:1376011528
Name:FOX, CHELSEA (PT DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:FRASER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT DPT
Mailing Address - Street 1:201 E HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0206
Mailing Address - Country:US
Mailing Address - Phone:408-376-0900
Mailing Address - Fax:408-376-0886
Practice Address - Street 1:201 E HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0206
Practice Address - Country:US
Practice Address - Phone:408-376-0900
Practice Address - Fax:408-376-0886
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist