Provider Demographics
NPI:1154550531
Name:FOX, SARAH ANN (DPT)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:FOX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:CASSELTON
Mailing Address - State:ND
Mailing Address - Zip Code:58012-3305
Mailing Address - Country:US
Mailing Address - Phone:701-346-0222
Mailing Address - Fax:701-346-0223
Practice Address - Street 1:602 1ST ST N STE A
Practice Address - Street 2:
Practice Address - City:CASSELTON
Practice Address - State:ND
Practice Address - Zip Code:58012-3305
Practice Address - Country:US
Practice Address - Phone:701-346-0222
Practice Address - Fax:701-346-0223
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1903225100000X
MN9281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist