Provider Demographics
NPI:1376595181
Name:FOXHOVEN, CRAIG A (PT)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:A
Last Name:FOXHOVEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 TAMIAMI N TRL 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3016
Mailing Address - Country:US
Mailing Address - Phone:239-643-2040
Mailing Address - Fax:239-643-2080
Practice Address - Street 1:800 GOODLETTE RD N
Practice Address - Street 2:STE 140
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5400
Practice Address - Country:US
Practice Address - Phone:239-643-8720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40916WMedicare ID - Type Unspecified