SearchGeorgia225XP0200X

Tara Fox, MOT OTRL

NPI 1588654537 · on the registry since 2005 · sole proprietor

Practice

Address
156 Shadow Wood Bnd
St Simons Island, GA 31522
Phone
(678) 333-5832

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225XP0200X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia