Ellese Cox, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Bainbridge, IN

NPI 1427744697 · NPPES record last updated Apr 12, 2023

Key facts

NPI
1427744697
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32003737A (IN)
Practice address
6896 E County Road 800 N
Bainbridge, IN 46105-9495
Phone
(317) 313-0722
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32003737AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32003737A IN Yes

Addresses

Primary practice location

6896 E County Road 800 N
Bainbridge, IN 46105-9495

Mailing address

6896 E County Road 800 N
Bainbridge, IN 46105-9495

Other providers in Bainbridge, IN

All providers in Bainbridge, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.