Healthcare Provider Details

I. General information

NPI: 1326295460
Provider Name (Legal Business Name): MEGAN COX GONZALEZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MEGAN FIELDING COX

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LIBRARY BLVD SUITE A
GREENWOOD IN
46142
US

IV. Provider business mailing address

1701 LIBRARY BLVD SUITE A COLLABORATING FOR KIDS, LLC
GREENWOOD IN
46142
US

V. Phone/Fax

Practice location:
  • Phone: 317-881-9923
  • Fax: 614-840-9310
Mailing address:
  • Phone: 614-840-0558
  • Fax: 614-840-9310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT 012145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: