Individual
JEREMY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6916 41ST AVE, KENOSHA, WI 53142-1714
(262) 914-9769
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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