Provider Demographics
NPI:1770951535
Name:COX, ANN (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1505
Mailing Address - Country:US
Mailing Address - Phone:219-789-0591
Mailing Address - Fax:
Practice Address - Street 1:605 CHERRY ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-1505
Practice Address - Country:US
Practice Address - Phone:219-789-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056006402225X00000X
IN31003565A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist