Provider Demographics
NPI:1396935359
Name:COX, SHARON LORENE (COTAL)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LORENE
Last Name:COX
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2015 S FINLEY RD
Mailing Address - Street 2:# 200
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:630-629-3822
Mailing Address - Fax:
Practice Address - Street 1:165 S BLOOMINGDALE
Practice Address - Street 2:LEXINGTON HEALTH CARE CENTER & REHABILITATION
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108
Practice Address - Country:US
Practice Address - Phone:630-980-8700
Practice Address - Fax:630-295-8549
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant