Provider Demographics
NPI:1467527879
Name:COXSON, RONALD JR (PT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:COXSON
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2059 MONROE AVE
Mailing Address - Street 2:APT 22
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-3461
Mailing Address - Country:US
Mailing Address - Phone:330-206-4788
Mailing Address - Fax:
Practice Address - Street 1:2308 SOUTHEAST BLVD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-3418
Practice Address - Country:US
Practice Address - Phone:330-332-8488
Practice Address - Fax:330-332-4441
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010844225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist