Provider Demographics
NPI:1851586416
Name:FOX-DAVIS, JANICE P (PT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:P
Last Name:FOX-DAVIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21200 TAFT RD
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1033
Mailing Address - Country:US
Mailing Address - Phone:248-344-8489
Mailing Address - Fax:
Practice Address - Street 1:21200 TAFT RD
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-1033
Practice Address - Country:US
Practice Address - Phone:248-344-8489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501002888225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist