Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 08177 | MD |
NPI | 1083138176 |
---|---|
Provider Name | Rhonda Deneah Cox |
First Address | Waldorf, MD 20603-4583 |
Second Address | Waldorf, MD 20603-4583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2017 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08177 | LICENSE (01) | MD |