Provider Demographics
NPI:1952079063
Name:COX, ASHLYN ELIZABETH
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ELIZABETH
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W POINSETT ST
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1554
Mailing Address - Country:US
Mailing Address - Phone:864-752-3357
Mailing Address - Fax:678-840-2112
Practice Address - Street 1:509 W POINSETT ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1554
Practice Address - Country:US
Practice Address - Phone:864-752-3357
Practice Address - Fax:678-840-2112
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6213225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6213OtherSC - SCDDHS