Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005509 | OH |
NPI | 1023417656 |
---|---|
Provider Name | Julie Cox |
First Address | Cincinnati, OH 45212-2218 |
Second Address | Cincinnati, OH 45212-2218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2014 |
Last Update Date | 20/08/2014 |