Provider Demographics
NPI:1992363048
Name:COX, COLLEEN (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CABANA BLVD UNIT 2413
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4567
Mailing Address - Country:US
Mailing Address - Phone:850-348-0340
Mailing Address - Fax:
Practice Address - Street 1:300 CABANA BLVD UNIT 2413
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-4567
Practice Address - Country:US
Practice Address - Phone:850-348-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist