Individual
BRAD PRESTON COX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Mailing address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1053854
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228889
—
OR
01
—
A007
TRICARE ID#
OR
01
—
B060405
PACIFICSOURCE
OR
Enumeration date
06/06/2006
Last updated
07/09/2007
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