Provider Demographics
NPI:1881654242
Name:COX, SEAN P (ATC)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:P
Last Name:COX
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MILL RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4619
Mailing Address - Country:US
Mailing Address - Phone:603-434-3602
Mailing Address - Fax:603-434-0512
Practice Address - Street 1:44 GEREMONTY DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3313
Practice Address - Country:US
Practice Address - Phone:603-893-7069
Practice Address - Fax:603-893-7087
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer