Individual
KELLEY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
514 S BROWN ST, SPRINGFIELD, TN 37172-2937
(615) 382-0500
(615) 382-0501
Mailing address
PO BOX 1637, SPRINGFIELD, TN 37172-1637
(615) 382-0500
(615) 382-0501
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6488
STATE LICENSE
TN
Enumeration date
03/03/2020
Last updated
03/03/2020
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