Provider Demographics
NPI:1710170816
Name:COX, PATRICIA T (MS, PT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:T
Last Name:COX
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NORTHTOWN DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-3047
Mailing Address - Country:US
Mailing Address - Phone:601-206-9195
Mailing Address - Fax:601-957-8391
Practice Address - Street 1:ENCORE REHAB OF COLUMBUS
Practice Address - Street 2:2406 HWY 45, STE A
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1398
Practice Address - Country:US
Practice Address - Phone:662-329-9445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT1630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist