Provider Demographics
NPI:1972758704
Name:FOX, WENDY WALSH (MOTR/L)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:WALSH
Last Name:FOX
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:600 W VALLEY FORGE RD
Mailing Address - Street 2:DEPT OF OCCUPATIONAL THERAPY
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1571
Mailing Address - Country:US
Mailing Address - Phone:610-337-1775
Mailing Address - Fax:610-337-7497
Practice Address - Street 1:600 W VALLEY FORGE RD
Practice Address - Street 2:DEPT OF OCCUPATIONAL THERAPY
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1571
Practice Address - Country:US
Practice Address - Phone:610-337-1775
Practice Address - Fax:610-337-7497
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006858L225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation