Provider Demographics
NPI:1285753459
Name:COX, LORI ANN (MSOTRL)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:MSOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6102
Mailing Address - Country:US
Mailing Address - Phone:630-871-9297
Mailing Address - Fax:630-871-4178
Practice Address - Street 1:1522 CENTER AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-6102
Practice Address - Country:US
Practice Address - Phone:630-871-9297
Practice Address - Fax:630-871-4178
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL000000641332225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist