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NPI Code Detail

MEDICARE: CAROLINE ELIZABETH COX OTR/L

MEDICARE: CAROLINE ELIZABETH COX OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT19904FL

General Provider Information

NPI Number : 1134687569
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ELIZABETH COX OTR/L
Provider Business Mailing Address
First Line : 2909 KINGS HARBOUR RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-1627
Country : US
Telephone Number : 850-814-7836
Fax Number :
Provider Business Practice Location Address
First Line : 114 3RD ST SE
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32548-5401
Country : US
Telephone Number : 850-243-6134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

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