Individual
GWEN COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 LADSON LN, GEORGETOWN, SC 29440-5632
(866) 571-2700
Mailing address
124 LADSON LN, GEORGETOWN, SC 29440-5632
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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