Individual
CORNELIUS COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1755 WITTINGTON PL STE 175, DALLAS, TX 75234-1905
(480) 338-1463
Mailing address
4058 E BRECKENRIDGE WAY, GILBERT, AZ 85234-7502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/24/2017
Last updated
05/24/2017
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