Provider Demographics
NPI:1073840179
Name:COX, SARAH BETH (OT)
Entity Type:Individual
Prefix:
First Name:SARAH BETH
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 PARKVIEW CIR
Mailing Address - Street 2:APT. 207
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4306
Mailing Address - Country:US
Mailing Address - Phone:252-230-5880
Mailing Address - Fax:
Practice Address - Street 1:1410 PARKVIEW CIR
Practice Address - Street 2:APT. 207
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4306
Practice Address - Country:US
Practice Address - Phone:252-230-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7358225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist