Provider Demographics
NPI:1851348874
Name:FOX, RITA M (PT)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:M
Last Name:FOX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:80 LEIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2242
Mailing Address - Country:US
Mailing Address - Phone:207-321-2100
Mailing Address - Fax:207-321-2101
Practice Address - Street 1:80 LEIGHTON RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2242
Practice Address - Country:US
Practice Address - Phone:207-321-2100
Practice Address - Fax:207-321-2101
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPT2369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPENDINGMedicaid
MEPENDINGMedicare ID - Type Unspecified