Provider Demographics
NPI:1194021527
Name:COX, MARLA J (OTR/L)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 NE 150TH ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4768
Mailing Address - Country:US
Mailing Address - Phone:425-269-8933
Mailing Address - Fax:
Practice Address - Street 1:17815 NE 125TH ST
Practice Address - Street 2:UNIT B
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-2236
Practice Address - Country:US
Practice Address - Phone:425-269-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001320225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics