Individual
ELLESE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6896 E COUNTY ROAD 800 N, BAINBRIDGE, IN 46105-9495
(317) 313-0722
Mailing address
6896 E COUNTY ROAD 800 N, BAINBRIDGE, IN 46105-9495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003737A
IN
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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