Provider Demographics
NPI:1437316312
Name:COX, DANA L (OTR/L)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:ROYSTER-COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:257 MCNIEL DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4509
Mailing Address - Country:US
Mailing Address - Phone:615-631-6691
Mailing Address - Fax:
Practice Address - Street 1:257 MCNIEL DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4509
Practice Address - Country:US
Practice Address - Phone:615-631-6691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN070453631174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist