Provider Demographics
NPI:1467094086
Name:COX, REBECKA (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:REBECKA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 PRINCETOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROTTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12306-1544
Mailing Address - Country:US
Mailing Address - Phone:518-669-6717
Mailing Address - Fax:
Practice Address - Street 1:6991 DUANESBURG RD
Practice Address - Street 2:
Practice Address - City:DUANESBURG
Practice Address - State:NY
Practice Address - Zip Code:12056-1814
Practice Address - Country:US
Practice Address - Phone:518-669-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NY023649-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist