Most Relevant Information
Provider Data
| NPI Number: | 1003358383 |
| Provider Name: | JESSICA FOX PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TE010994 |
Most Important Dates
| Enumeration Date: | 11/17/2016 |
| Last Updated: | 11/17/2016 |
Provider Practice Location
25117 SW PARKWAY AVE
SUITE D
WILSONVILLE
OR
970709697
Practice Location Phone/Fax
| Phone: | 9712242040 |
| Fax: |
Provider Mailing Location
21937 PHELPS RD
MEADVILLE
PA
163355559
Provider Mailing Phone/Fax
| Phone: | 8145737460 |
| Fax: |