Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1333 | NY |
NPI | 1477588184 |
---|---|
Provider Name | Mr. Willis E Cox III |
First Address | Alexandria, LA 71303-2169 |
Second Address | Pineville, LA 71360-4044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |