Basic Information
| Provider Information | |||||||||
| NPI: | 1245462571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COX BECKER | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2176 | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532012176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8157132601 | ||||||||
| FaxNumber: | 8157138597 | ||||||||
| Practice Location | |||||||||
| Address1: | 3475 S ALPINE RD | ||||||||
| Address2: | |||||||||
| City: | ROCKFORD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 611092604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8158748000 | ||||||||
| FaxNumber: | 8158747525 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2009 | ||||||||
| LastUpdateDate: | 08/20/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 160005240 | IL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.