Organization Name: | FOX-TROT THERAPY SERVICES, INC |
NPI Number: | 1356660856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY FOX (SLP, OWNER) |
Mailing Address: | 2316 Sheffield Dr Jonesboro |
State: | AR US |
Postal Code: | 724018134 |
Phone Number: | 8703297344 |
Fax Number: | 8702681199 |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |