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NPI Code Detail

MEDICARE: ALYSSA DAWN COX COTA/L

MEDICARE: ALYSSA DAWN COX COTA/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
1224Z00000XOccupational Therapy Assistant0131001870VA

General Provider Information

NPI Number : 1639688815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA DAWN COX COTA/L
Provider Business Mailing Address
First Line : 37 BIRCH DR
Second Line :
City : HONAKER
State : VA
Zip : 24260-1817
Country : US
Telephone Number : 276-210-1324
Fax Number :
Provider Business Practice Location Address
First Line : 196 CUMBERLAND RD
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-1137
Country : US
Telephone Number : 276-964-6702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2017
Last Update Date : 01/14/2021

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Directions to “ ALYSSA DAWN COX COTA/L” Practice Location

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