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Individual

DUSTIN COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
4121 SHELBYVILLE RD, SUITE 7, LOUISVILLE, KY 40207-3205
(502) 893-1380
Mailing address
4121 SHELBYVILLE RD, SUITE 7, LOUISVILLE, KY 40207-3205
(502) 893-1380

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
170536
KY

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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