Healthcare Provider Details

I. General information

NPI: 1386554871
Provider Name (Legal Business Name): EMILIE COX OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 REDWOOD RD STE 9
OAKLAND CA
94619-2400
US

IV. Provider business mailing address

4620 DOLORES AVE
OAKLAND CA
94602-1824
US

V. Phone/Fax

Practice location:
  • Phone: 913-488-7487
  • Fax:
Mailing address:
  • Phone: 913-488-7487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number25937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: