Provider Demographics
NPI:1770979296
Name:COX, JANE ANN (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15728 W BECKETT LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4523
Mailing Address - Country:US
Mailing Address - Phone:913-909-3268
Mailing Address - Fax:
Practice Address - Street 1:15728 W BECKETT LN
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-4523
Practice Address - Country:US
Practice Address - Phone:913-909-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00615225X00000X
MO000211225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist