Healthcare Provider Details

I. General information

NPI: 1396155016
Provider Name (Legal Business Name): HEATHER COX OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 N CENTENNIAL AVE
WEST FORK AR
72774-2711
US

IV. Provider business mailing address

122 ROYALE DR
TEXARKANA TX
75503-2331
US

V. Phone/Fax

Practice location:
  • Phone: 479-381-3709
  • Fax:
Mailing address:
  • Phone: 903-826-3649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number125351
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number125351
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number125351
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: