Provider Demographics
NPI:1134300197
Name:COX, STEPHEN P (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:P
Last Name:COX
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 CALUMET DR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1009
Mailing Address - Country:US
Mailing Address - Phone:508-586-9559
Mailing Address - Fax:
Practice Address - Street 1:75 STOCKWELL DR
Practice Address - Street 2:#12
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1170
Practice Address - Country:US
Practice Address - Phone:508-427-3910
Practice Address - Fax:508-427-3929
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic