MEDICARE: AMY MARIE COX P.T.A.

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
1	225200000X	Physical Therapy Assistant	6676	AL
2	225200000X	Physical Therapy Assistant	2430	AR

General Provider Information

NPI Number	:	1528355575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE COX P.T.A.

Provider Business Mailing Address
First Line	:	2507 RILEYS PASS SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803-2976
Country	:	US
Telephone Number	:	870-833-1543
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 CLIFTON ST
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71701-3327
Country	:	US
Telephone Number	:	870-836-4193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	03/20/2019

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