Provider Demographics
NPI:1952525552
Name:FOX, CLARE
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OWENS RD
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:NH
Mailing Address - Zip Code:03588-3447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 OWENS RD
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:NH
Practice Address - Zip Code:03588-3447
Practice Address - Country:US
Practice Address - Phone:603-326-5739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1990OtherPT LICENSE