Basic Information
Provider Information
NPI: 1346304276
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: JAMES
MiddleName: MITCHELL
NamePrefix: MR.
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3018
Address2:  
City: CENTER LINE
State: MI
PostalCode: 48015
CountryCode: US
TelephoneNumber: 5865524499
FaxNumber: 5865524878
Practice Location
Address1: 7633 E JEFFERSON
Address2: #170
City: DETROIT
State: MI
PostalCode: 48214
CountryCode: US
TelephoneNumber: 3134994553
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X5201002481MIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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