Individual
COLLEEN COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
585 NUT TREE CT, VACAVILLE, CA 95687-3353
(707) 449-8000
Mailing address
810 WALNUT LN, WINTERS, CA 95694-1732
(530) 304-5360
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA 2595
CA
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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