Provider Demographics
NPI:1538419122
Name:FOX, CATHERINE C (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:C
Last Name:FOX
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:C
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:162 WINDHAM WAY
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9745
Mailing Address - Country:US
Mailing Address - Phone:585-727-4672
Mailing Address - Fax:
Practice Address - Street 1:162 WINDHAM WAY
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-9745
Practice Address - Country:US
Practice Address - Phone:585-727-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7500225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics